Provider Demographics
NPI:1447557392
Name:MATZNER, JENNIFER DIZNOFF (MS, LCSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:DIZNOFF
Last Name:MATZNER
Suffix:
Gender:F
Credentials:MS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 SPRINGDALE DR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2843
Mailing Address - Country:US
Mailing Address - Phone:484-565-8200
Mailing Address - Fax:828-565-8219
Practice Address - Street 1:479 THOMAS JONES WAY
Practice Address - Street 2:SUITE 800
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2580
Practice Address - Country:US
Practice Address - Phone:484-565-8200
Practice Address - Fax:828-565-8219
Is Sole Proprietor?:No
Enumeration Date:2011-02-11
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0165051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical