Provider Demographics
NPI:1578269585
Name:GERMAN, JEURI (LCSW)
Entity Type:Individual
Prefix:
First Name:JEURI
Middle Name:
Last Name:GERMAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:837 FAIRCOURT AVE
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-4006
Mailing Address - Country:US
Mailing Address - Phone:215-207-1023
Mailing Address - Fax:
Practice Address - Street 1:6198 BUTLER PIKE STE 125
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-2600
Practice Address - Country:US
Practice Address - Phone:267-343-9155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0213671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical