Active NPI
Jennifer Alldridge, LCSW
- Clinical Social Worker
- Jupiter, FL
National Provider Identifier
1083966121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW12429
- Practice address
- 6285 Pompano St
Jupiter, FL 33458-6664 - Phone
- (561) 512-1040
- NPI assigned
- Oct 14, 2012
- Last updated
- Jul 31, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW12429 | FL | Primary |
Addresses
Primary practice location
6285 Pompano St
Jupiter, FL 33458-6664
Mailing address
6285 Pompano St
Jupiter, FL 33458-6664
Phone (561) 512-1040
Other practice location 1
3577 SW Corporate Pkwy
Palm City, FL 34990-8153
Phone (772) 220-3439
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 |
|---|---|---|---|
| SW12429 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- jenniferalldridge@tdh.allscriptsdirect.net
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": "1350172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1083966121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6285 POMPANO ST",
"city": "JUPITER",
"state": "FL",
"postal_code": "334586664",
"telephone_number": "561-512-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6285 POMPANO ST",
"city": "JUPITER",
"state": "FL",
"postal_code": "334586664",
"telephone_number": "561-512-1040"
}
],
"practiceLocations": [
{
"address_1": "3577 SW Corporate Pkwy",
"address_purpose": "LOCATION",
"city": "Palm City",
"state": "FL",
"postal_code": "349908153",
"country_code": "US",
"telephone_number": "772-220-3439",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLDRIDGE",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-14",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW12429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
- All Women's Healthcare of West Broward, Inc.
- All Women's Healthcare, Inc
- All Womens Healthcare Inc
- All-N-1-Speech and Language Therapy Services, LLC
- Emily Ruth Allard-Fontanarosa, C.R.N.A
- Allen Sater DPM PA (DBA Ankle & Foot Care Center)
- Nakietrice Allen
- Nehemie Allen
- Allergy and Asthma Care of the Palm Beaches, PA
- Allison Long LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.