Individual
JILLIAN K WINKLEVOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
143 E WALLACE AVE, NEW CASTLE, PA 16101-2453
(724) 654-9555
(724) 498-0976
Mailing address
143 E WALLACE AVE, NEW CASTLE, PA 16101-2453
(724) 654-9555
(724) 498-0976
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1700064
OH
104100000X
Social Worker
SW133876
PA
1041C0700X
Clinical Social Worker
Primary
CW022155
PA
Other
Enumeration date
05/22/2018
Last updated
04/28/2022
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