Provider Demographics
NPI:1912749250
Name:CLARITY FOR CHANGE
Entity type:Organization
Organization Name:CLARITY FOR CHANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:COURTNEY
Authorized Official - Last Name:ROSENAU
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:484-416-0612
Mailing Address - Street 1:500 OFFICE CENTER DR STE 400
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-3234
Mailing Address - Country:US
Mailing Address - Phone:215-205-3273
Mailing Address - Fax:
Practice Address - Street 1:500 OFFICE CENTER DR STE 400
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-3234
Practice Address - Country:US
Practice Address - Phone:215-205-3273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-07
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty