Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JESSICA RENEE PANICCIA, LCSW
Active Sole ProprietorMRS. JESSICA RENEE PANICCIA, LCSW is a Clinical Social Worker healthcare provider located in LOUSIVILLE, Kentucky. NPI 1154134385 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LOUSIVILLE, KY
Registration Details
- NPI Number
- 1154134385
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2025 (1.5202709425999 yrs)
- Last Updated
- Jan 30, 2025
- License
-
257123 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8134 NEW LAGRANGE RDSUITE 100LOUSIVILLE, KY, 40222Browse KY providers · Browse ZIP 40222
- Phone
- 5028309276
- Fax
- 5026904500
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.