Provider Demographics
NPI:1093986077
Name:JENSEN, CHERYL A (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:A
Last Name:JENSEN
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 1:3322 ROUTE 22 WEST BRANCHBURG COMMONS
Mailing Address - Street 2:BUILDING 4, SUITE 412
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876
Mailing Address - Country:US
Mailing Address - Phone:908-872-6475
Mailing Address - Fax:
Practice Address - Street 1:35 N BRANCH RIVER RD
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3709
Practice Address - Country:US
Practice Address - Phone:908-872-6475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052931001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical