Elizabeth Kim Jerg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

51392 Issued in TX

Practice address

2028 S Austin St Apt 504
Amarillo, TX 79109-1958

Phone

(806) 433-4535

NPI assigned

May 7, 2014

Last updated

Apr 22, 2025By the provider in NPPES

Sex

Female

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.

• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1073923314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 S AUSTIN ST APT 504",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091958",
            "telephone_number": "806-433-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 S AUSTIN ST APT 504",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091958",
            "telephone_number": "806-433-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERG",
        "first_name": "ELIZABETH",
        "middle_name": "KIM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley E Jennings
• Stephen Leroy Jennings, MA, LPC
• Sydnee Elizabeth Jenschke, FNP-C
• Barbara L Jensen, FNP-BC
• Randal D Jentzen, OD
• Jessie R. Pruitt Dba Sleep 2 Go
• Ibbie Jeter, FNP
• Frankie Jew, RPH
• Paul Jew, MD
• Bethany Jex

• Clinical Social Worker in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.