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Provider Information for 1598062994


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

Mrs. JENNY ELIZABETH MARDER LCSW


Other Names:  
Professional Name: 
Ms. JENNIFER ELIZABETH MARDER LCSW

Sex: Female

NPI: 1598062994
Last Updated: 2025-03-31
Certification Date: 2025-03-31

Details

NameValue
NPI1598062994
Enumeration Date2011-02-21
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1622 W AGAVE LN
GREEN VALLEY, AZ 85622-3278
United States

Phone: 217-741-7665 | Fax:
 
Primary Practice Address 1622 W AGAVE LN
GREEN VALLEY, AZ 85622-3278
United States

Phone: 217-741-7665 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 171W00000X - Contractor
Yes 1041C0700X - Social Worker - ClinicalIL149.018905