Provider Demographics
NPI:1477760627
Name:KNERR, JILL BUEHLER (MSW)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:BUEHLER
Last Name:KNERR
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 1:2225 15TH ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-4480
Mailing Address - Country:US
Mailing Address - Phone:610-691-2455
Mailing Address - Fax:610-691-2455
Practice Address - Street 1:227 W BROAD ST STE 201
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5570
Practice Address - Country:US
Practice Address - Phone:610-691-2455
Practice Address - Fax:610-691-2455
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0126521041C0700X
PAMF000906106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical