Individual ProviderWhitney Lena JaebSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4220 S Maryland Pkwy Bldg A, Las Vegas, NV 89119-7533(415) 424-4266PECOS EnrollmentBased on the most recent information from CMS, provider Whitney Lena Jaeb does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1467168435Provider TypeIndividualFull NameJaeb, Whitney LenaCredentialMSW, LCSWGenderFemaleSole ProprietorNoEnumeration Date1/24/2023Last Updated3/11/2025Contact InformationPractice LocationPractice Address4220 S Maryland Pkwy Bldg A, Las Vegas, NV 89119-7533Phone(415) 424-4266Fax(415) 520-6633Mailing LocationMailing Address8300 Esters Blvd Ste 900, Irving, TX 75063-2233Phone(415) 424-4266Fax(415) 520-6633Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense12004-CNevada