Provider Demographics
NPI:1659808459
Name:LENNING, JOSEPHINE (LLMSW)
Entity Type:Individual
Prefix:MS
First Name:JOSEPHINE
Middle Name:
Last Name:LENNING
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4179 SILVER LAKE RD
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:MI
Mailing Address - Zip Code:48451-9017
Mailing Address - Country:US
Mailing Address - Phone:586-839-5330
Mailing Address - Fax:
Practice Address - Street 1:1542 N. LEROY
Practice Address - Street 2:SUITE 3, OFFICE 2
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-9271
Practice Address - Country:US
Practice Address - Phone:586-839-5330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical