Provider Demographics
NPI:1801365333
Name:GROLEMUND, JOLEEN (LCSW)
Entity Type:Individual
Prefix:
First Name:JOLEEN
Middle Name:
Last Name:GROLEMUND
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 1:106 WEHLER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:PA
Mailing Address - Zip Code:15857-2138
Mailing Address - Country:US
Mailing Address - Phone:814-245-8664
Mailing Address - Fax:814-245-8665
Practice Address - Street 1:106 WEHLER RD
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:PA
Practice Address - Zip Code:15857-2138
Practice Address - Country:US
Practice Address - Phone:814-245-8664
Practice Address - Fax:814-245-8665
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
PACW0202201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical