Individual
JENNY BEADLE
Active
Individual
JENNY BEADLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW131231
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW131231
PA STATE
PA
Enumeration date
02/09/2015
Last updated
02/09/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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