Active NPI
Jennifer L Scruggs
- Social Worker
- San Antonio, TX
National Provider Identifier
1033945944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 65167
- Practice address
- 19510 Encino Gap
San Antonio, TX 78259-2316 - Phone
- (615) 410-6650
- NPI assigned
- Sep 9, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 65167 | TX | Primary |
Addresses
Primary practice location
19510 Encino Gap
San Antonio, TX 78259-2316
Mailing address
19510 Encino Gap
San Antonio, TX 78259-2316
Phone (615) 410-6650
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65167 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1033945944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19510 ENCINO GAP",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782592316",
"telephone_number": "615-410-6650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19510 ENCINO GAP",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782592316",
"telephone_number": "615-410-6650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRUGGS",
"first_name": "JENNIFER",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "65167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.