Provider Demographics
NPI:1215139969
Name:HOVANEC, JENNY LYNN (MSW - LCSW)
Entity type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:LYNN
Last Name:HOVANEC
Suffix:
Gender:F
Credentials:MSW - LCSW
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Mailing Address - Street 1:7401 CARMEL EXECUTIVE PARK DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-8275
Mailing Address - Country:US
Mailing Address - Phone:704-752-8414
Mailing Address - Fax:704-752-8104
Practice Address - Street 1:7401 CARMEL EXECUTIVE PARK DR
Practice Address - Street 2:SUITE 210
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-8275
Practice Address - Country:US
Practice Address - Phone:704-752-8414
Practice Address - Fax:704-752-8104
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCC0028781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002530Medicaid