Provider Demographics
NPI:1508737974
Name:PIENING, JODI LYNN (LMSW)
Entity type:Individual
Prefix:MRS
First Name:JODI
Middle Name:LYNN
Last Name:PIENING
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 BEECHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SHARON SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:13459-3602
Mailing Address - Country:US
Mailing Address - Phone:518-488-4267
Mailing Address - Fax:
Practice Address - Street 1:174 BEECHWOOD RD
Practice Address - Street 2:
Practice Address - City:SHARON SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:13459-3602
Practice Address - Country:US
Practice Address - Phone:518-488-4267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128047-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker