Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOHN PETER JENDUSA, LCSW

Active

MR. JOHN PETER JENDUSA, LCSW is a Clinical Social Worker healthcare provider located in GLENDALE, Wisconsin. NPI 1770691164 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · GLENDALE, WI

Registration Details

NPI Number: 1770691164
Provider Type: Individual
Gender: Male
NPI Issued: Aug 27, 2006 (19.935250141563 yrs)
Last Updated: Aug 26, 2008
License: 2251-123 (WI)

Practice Information

Address: 5225 NORTH IRONWOOD ROAD

102

GLENDALE, WI, 53217
Browse WI providers · Browse ZIP 53217
Phone: 4149629156
Fax: 4149624356
Primary Specialty: Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in GLENDALE, WI

Name	Credential	NPI
MR. ALEX HARTWELL	LCSW	1083613517
CATHERINE QUINN ROUSSEAU	LCSW#	1699870824
MS. KARI LYNN DI FONZO	LCSW	1508965906
CANDACE WENDLICK	LCSW	1306921440
DAVID C POEHLMANN	CSAC, LCSW, ICS	1124182126
MR. JAMES WALTER HOLIFIELD	LCSW	1568506814

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.