Provider Demographics
NPI:1497953145
Name:BAUERLEIN, JENNY MORALES (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:MORALES
Last Name:BAUERLEIN
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 1:3016 POLAR LN STE 403
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3050
Mailing Address - Country:US
Mailing Address - Phone:929-352-5433
Mailing Address - Fax:
Practice Address - Street 1:3016 POLAR LN STE 403
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3050
Practice Address - Country:US
Practice Address - Phone:929-352-5433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-04
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39080104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker