Individual
JENNIFER WAGNER-FELKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 858, A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW013316L
PA
1041C0700X
Clinical Social Worker
Primary
CW015586
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2321241000
IBC
PA
01
—
265278000
KEYSTONE
PA
01
—
7805299
AETNA
PA
Enumeration date
09/23/2006
Last updated
03/29/2012
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