Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENA FOURAKER, LCSW, LSCSW
Active Sole ProprietorJENA FOURAKER, LCSW, LSCSW is a Clinical Social Worker healthcare provider located in LAKE WAUKOMIS, Missouri. NPI 1972125193 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LAKE WAUKOMIS, MO
Registration Details
- NPI Number
- 1972125193
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2020 (6.077098526463 yrs)
- Last Updated
- Feb 15, 2023
- License
-
2019036298 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1133 NW SOUTH SHORE DRLAKE WAUKOMIS, MO, 641511439Browse MO providers · Browse ZIP 64151
- Phone
- 8168952533
- 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.