Alexander Jennings Jr., LCSW. CAP.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9664 Issued in FL

Practice address

20295 NW 2ND Ave Ste 302
Miami Gardens, FL 33169-2552

Phone

(305) 974-4426

NPI assigned

Mar 4, 2010

Last updated

May 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elevated Society, Inc

  • Community/Behavioral Health Agency
  • Miami Gardens, FL
  • NPI 1831638972
  NPD (past)

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1023331063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 SW 145TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767049",
            "telephone_number": "305-634-3409",
            "fax_number": "305-635-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20295 NW 2ND AVE STE 302",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692552",
            "telephone_number": "305-974-4426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 NW 28th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331274046",
            "country_code": "US",
            "telephone_number": "305-634-3409 x118",
            "fax_number": "305-635-3524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW. CAP.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-04",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kemley Jean, LMHC
• Maxson Jean, SA-C
• Tashara Redding Jean, APRN
• Danielle Whitney Jefferson, ATC
• Nelly Jengo, LMT
• Jeps Dental Group LLC
• Dannay Jerezano
• Jessie Trice Community Health System Inc
• Jessie Trice Community Health System Inc
• Jessie Trice Community Health System Inc

• Clinical Social Worker in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.