Provider Demographics
NPI:1326879511
Name:SASSER, JANA ANNIE (LSW)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:ANNIE
Last Name:SASSER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 BUCKINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:WEST DEPTFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08086-3811
Mailing Address - Country:US
Mailing Address - Phone:856-449-0996
Mailing Address - Fax:
Practice Address - Street 1:1011 BUCKINGHAM DR
Practice Address - Street 2:
Practice Address - City:WEST DEPTFORD
Practice Address - State:NJ
Practice Address - Zip Code:08086-3811
Practice Address - Country:US
Practice Address - Phone:856-449-0996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL071537001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical