Provider Demographics
NPI:1972134682
Name:COLONNA-SCERBO, JENNIFER K (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:K
Last Name:COLONNA-SCERBO
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:KATHERINE
Other - Last Name:COLONNA-SCERBO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:725 RIVER RD STE 60
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-1149
Mailing Address - Country:US
Mailing Address - Phone:201-401-6446
Mailing Address - Fax:
Practice Address - Street 1:725 RIVER RD STE 60
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-1149
Practice Address - Country:US
Practice Address - Phone:201-401-6446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-31
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC049004001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical