Individual provider · Type 1 NPI

Jacqueline Heather Pencek, LISW

Clinical Social Worker · Columbus, OH

NPI number 1174832307 Active

Practice location

399 E Main St
Columbus, OH 43215-5384

Fax (614) 355-8593

Mailing address

PO Box 715194
Columbus, OH 43271-5194

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI 1000005 (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1174832307

Jacqueline Heather Pencek, LISW's National Provider Identifier is 1174832307, issued on Oct 5, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on Apr 28, 2011.