Provider Demographics
NPI:1508395567
Name:NEHER, JENNIFER SUSANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:SUSANNE
Last Name:NEHER
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 1:5009 TELEPHONE RD
Mailing Address - Street 2:
Mailing Address - City:PASCAGOULA
Mailing Address - State:MS
Mailing Address - Zip Code:39567-1832
Mailing Address - Country:US
Mailing Address - Phone:228-222-4774
Mailing Address - Fax:228-205-0559
Practice Address - Street 1:5009 TELEPHONE RD
Practice Address - Street 2:
Practice Address - City:PASCAGOULA
Practice Address - State:MS
Practice Address - Zip Code:39567-1832
Practice Address - Country:US
Practice Address - Phone:228-222-4774
Practice Address - Fax:228-205-0559
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-05
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC84151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical