Active NPI
Jennifer Hartman, LCSW
- Clinical Social Worker
- Colonial Heights, VA
National Provider Identifier
1003125030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007361
- Practice address
- 798 Southpark Boulavard
16
Colonial Heights, VA 23834 - Phone
- (804) 647-6934
- Fax
- (804) 520-8007
- NPI assigned
- Sep 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904007361 | VA | Primary |
Addresses
Primary practice location
798 Southpark Boulavard
16
Colonial Heights, VA 23834
Mailing address
5943 Elko Road
Sandston, VA 23150
Phone (804) 647-6934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0904007361 | Other | VA | DEPARTMENT OF HEALTH PROFESSIONS - BOARD OF SOCIAL WORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285286400000",
"number": "1003125030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5943 ELKO ROAD",
"city": "SANDSTON",
"state": "VA",
"postal_code": "23150",
"telephone_number": "804-647-6934",
"fax_number": "804-520-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "798 SOUTHPARK BOULAVARD",
"address_2": "16",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "23834",
"telephone_number": "804-647-6934",
"fax_number": "804-520-8007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2010-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007361",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH PROFESSIONS - BOARD OF SOCIAL WORK",
"identifier": "0904007361",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colonial Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.