Individual
AUTUMN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
230 S BROAD ST STE 402, PHILADELPHIA, PA 19102-4108
(215) 282-3004
Mailing address
781 N JUDSON ST, PHILADELPHIA, PA 19130-2507
(215) 282-3004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW142954
PA
Other
Enumeration date
06/23/2025
Last updated
01/06/2026
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