Provider Demographics
NPI:1386118438
Name:PAINTER, JENNIFER LEE (LICSWA)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LEE
Last Name:PAINTER
Suffix:
Gender:F
Credentials:LICSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 W GARLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-2526
Mailing Address - Country:US
Mailing Address - Phone:610-329-1875
Mailing Address - Fax:509-354-5930
Practice Address - Street 1:2118 W GARLAND AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-2526
Practice Address - Country:US
Practice Address - Phone:610-329-1875
Practice Address - Fax:509-354-5930
Is Sole Proprietor?:No
Enumeration Date:2019-01-11
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool