Organization Active NPI

Jennifer Clauson MSW PA

  • Clinical Social Worker
  • Destin, FL
National Provider Identifier
1013061779
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW1431 Issued in FL
Legal business name
JENNIFER CLAUSON MSW PA
Practice address
3997 Commons Dr W
Ste C
Destin, FL 32541-8443
Phone
(850) 837-3800
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Clauson, LCSW
Title
President
Phone
(850) 837-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW1431 FL Primary

Addresses

Primary practice location

3997 Commons Dr W
Ste C
Destin, FL 32541-8443

Mailing address

PO Box 1773
Santa Rosa Beach, FL 32459-1773
Phone (850) 837-3800

Other identifiers 2

IdentifierTypeStateIssuer
Z5846OtherFLBCBS
4393025OtherFLAETNA

National Provider Directory

National Provider Directory

Locations

3997 Commons Dr W
Ste C
Destin, FL 32541
Phone (850) 217-5874

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1013061779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1773",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324591773",
            "telephone_number": "850-837-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3997 COMMONS DR W",
            "address_2": "STE C",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418443",
            "telephone_number": "850-837-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CLAUSON MSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "CLAUSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-837-3800",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z5846",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4393025",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.