Individual provider Active NPI

Jennifer Lyn Palahniuk, LCSW

  • Clinical Social Worker
  • Spring, TX
National Provider Identifier
1033461629
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66282 Issued in TX
Practice address
6334 FM 2920 Rd Ste 300
Spring, TX 77379-3473
Phone
(832) 828-3322
Fax
(281) 370-0690
NPI assigned
Oct 8, 2012
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 66282 TX Primary

Addresses

Primary practice location

6334 FM 2920 Rd Ste 300
Spring, TX 77379-3473

Mailing address

6334 FM 2920 Rd Ste 300
Spring, TX 77379-3473
Phone (281) 370-0616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66282TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TCH Pediatric Associates, Inc PastSince Apr 5, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1033461629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 FM 2920 RD STE 300",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793473",
            "telephone_number": "281-370-0616",
            "fax_number": "281-370-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6334 FM 2920 RD STE 300",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793473",
            "telephone_number": "832-828-3322",
            "fax_number": "281-370-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAHNIUK",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.