Provider Demographics
NPI:1508339656
Name:LENNE, JAY ALLEN (MSW)
Entity Type:Individual
Prefix:
First Name:JAY
Middle Name:ALLEN
Last Name:LENNE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 E THOMAS RD STE 106
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-5748
Mailing Address - Country:US
Mailing Address - Phone:602-248-6040
Mailing Address - Fax:
Practice Address - Street 1:1500 E THOMAS RD STE 106
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-5748
Practice Address - Country:US
Practice Address - Phone:602-248-6040
Practice Address - Fax:602-279-8957
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker