Provider Demographics
NPI:1841614542
Name:GALVEZ, JENNIFER ANN (LSW)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ANN
Last Name:GALVEZ
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:ANN
Other - Last Name:GALVEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1078 WILLIAM FLYNN HWY
Mailing Address - Street 2:
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-2636
Mailing Address - Country:US
Mailing Address - Phone:412-377-0280
Mailing Address - Fax:
Practice Address - Street 1:255 S NEGLEY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3522
Practice Address - Country:US
Practice Address - Phone:412-365-3800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-15
Last Update Date:2014-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW122773104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker