Provider Demographics
NPI:1487435525
Name:WESSNER, SEHARA GENEEN (MSW, LSW)
Entity type:Individual
Prefix:
First Name:SEHARA
Middle Name:GENEEN
Last Name:WESSNER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:JENKINS TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18640-1333
Mailing Address - Country:US
Mailing Address - Phone:570-332-2112
Mailing Address - Fax:
Practice Address - Street 1:1605 RIVER RD
Practice Address - Street 2:
Practice Address - City:JENKINS TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18640-1333
Practice Address - Country:US
Practice Address - Phone:570-332-2112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-12
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW140407104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker