Provider Demographics
NPI:1477365401
Name:KIEFABER, JESSICA FELBER (LICSW)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:FELBER
Last Name:KIEFABER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 SAMUEL HANSON AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-4160
Mailing Address - Country:US
Mailing Address - Phone:603-715-7221
Mailing Address - Fax:
Practice Address - Street 1:20 TRI CITY PLZ UNIT 1
Practice Address - Street 2:
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878-1320
Practice Address - Country:US
Practice Address - Phone:716-703-8208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH28191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical