Provider Demographics
NPI:1639943459
Name:CADWELL, JENNA BRILL (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:BRILL
Last Name:CADWELL
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:HADDON HGTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035-1202
Mailing Address - Country:US
Mailing Address - Phone:631-241-0109
Mailing Address - Fax:
Practice Address - Street 1:1930 MARLTON PIKE E STE V105
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-4101
Practice Address - Country:US
Practice Address - Phone:856-751-0505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker