NPI 1265095517

Jennifer Koelln, LSW

Practitioner Social Worker Hasbrouck Heights, NJ

Practice location

Address: 611 State Rt 46 W STE 100, Hasbrouck Heights, NJ 07604-3120
Phone: (201) 478-4166
Mailing address: 121 Genevieve Ave, Hawthorne, NJ 07506-2321

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 44SL06472700 (NJ)

Other Social Worker providers in New Jersey →

Registry record

NPI: 1265095517
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2019
Record last updated: 22 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.