Individual
JENNA TIBERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4 PRINCESS RD STE 206, LAWRENCEVILLE, NJ 08648-2322
(609) 468-3231
Mailing address
4 PRINCESS RD STE 206, LAWRENCEVILLE, NJ 08648-2322
(609) 468-3231
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC6189400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8963
DMHAS-MH
NJ
Enumeration date
12/23/2020
Last updated
09/26/2024
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