Individual
MRS. JENNIFER SUZANNE DELVECCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6817 SPRAGUE ST, PHILADELPHIA, PA 19119-1421
(215) 910-1170
Mailing address
6817 SPRAGUE ST, PHILADELPHIA, PA 19119-1421
(215) 910-1170
(845) 485-4113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
076774-1
NY
1041C0700X
Clinical Social Worker
CW017666
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02855585
—
NY
01
—
11653356
EMPIRE BC/BS
NY
01
—
2945762
CIGNA
NY
01
—
9957424
AETNA PROVIDER
NY
Enumeration date
06/24/2008
Last updated
07/08/2023
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