Provider Demographics
NPI:1245863794
Name:SCHWAB, JENNIFER M (LPCMH)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:M
Last Name:SCHWAB
Suffix:
Gender:
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 IVES AVE
Mailing Address - Street 2:
Mailing Address - City:PENNS GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:08069-2614
Mailing Address - Country:US
Mailing Address - Phone:302-270-4641
Mailing Address - Fax:
Practice Address - Street 1:1000 N WEST ST STE 1200
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1058
Practice Address - Country:US
Practice Address - Phone:302-526-0848
Practice Address - Fax:302-212-0993
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-12
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PC-0011448101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health