Provider Demographics
NPI:1497301626
Name:DENHOLM, JENNIFER BRONSON (LCSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:BRONSON
Last Name:DENHOLM
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 1:1084 E LANCASTER AVE STE 303B
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1515
Mailing Address - Country:US
Mailing Address - Phone:610-642-3356
Mailing Address - Fax:
Practice Address - Street 1:1084 E LANCASTER AVE STE 303B
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1515
Practice Address - Country:US
Practice Address - Phone:610-642-3356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0201081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical