Provider Demographics
NPI:1093445207
Name:HOWARD, JESSICA ANNA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:ANNA
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:ANNA
Other - Last Name:ZELENAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:114 APOLLO RD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-6008
Mailing Address - Country:US
Mailing Address - Phone:724-493-3835
Mailing Address - Fax:
Practice Address - Street 1:114 APOLLO RD
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-6008
Practice Address - Country:US
Practice Address - Phone:724-493-3835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-13
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0217981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical