Provider Demographics
NPI:1801222666
Name:LEMMER, JENNY LYN (MSW, LISW-S, LICDC)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:LYN
Last Name:LEMMER
Suffix:
Gender:F
Credentials:MSW, LISW-S, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4002 WARRENSVILLE CENTER RD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-6771
Mailing Address - Country:US
Mailing Address - Phone:216-561-8300
Mailing Address - Fax:
Practice Address - Street 1:4002 WARRENSVILLE CENTER RD
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HTS
Practice Address - State:OH
Practice Address - Zip Code:44122-6771
Practice Address - Country:US
Practice Address - Phone:216-561-8300
Practice Address - Fax:216-561-8301
Is Sole Proprietor?:No
Enumeration Date:2013-09-24
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLICDC.161680101YA0400X
OHI.18009831041C0700X
OHCDCA.090628101YA0400X
OHS.1200389104100000X
WI93181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker