Provider Demographics
NPI:1043472764
Name:HEMLI, JENNA BETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JENNA
Middle Name:BETH
Last Name:HEMLI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 FERNDALE RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1924
Mailing Address - Country:US
Mailing Address - Phone:973-722-5428
Mailing Address - Fax:
Practice Address - Street 1:123 FERNDALE RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-1924
Practice Address - Country:US
Practice Address - Phone:973-722-5428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY068906-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker