Provider Demographics
NPI:1467999359
Name:HARRISON, JESSICA (MSW)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 S DUPONT HWY
Mailing Address - Street 2:APT 12L
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-5193
Mailing Address - Country:US
Mailing Address - Phone:302-740-3609
Mailing Address - Fax:
Practice Address - Street 1:200 W 9TH ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-4246
Practice Address - Country:US
Practice Address - Phone:302-740-3609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker