Provider Demographics
NPI:1487525648
Name:JENNIFER REGESTER, LCSW
Entity type:Organization
Organization Name:JENNIFER REGESTER, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:REGESTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:918-688-3837
Mailing Address - Street 1:639 MADISON PL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-4435
Mailing Address - Country:US
Mailing Address - Phone:918-688-3837
Mailing Address - Fax:
Practice Address - Street 1:7500 BROOKTREE RD STE 111
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9285
Practice Address - Country:US
Practice Address - Phone:918-688-3837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty