Jennifer A Putt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C011152 Issued in NC

Practice address

113 Holly Springs Rd Ste 202
Holly Springs, NC 27540-9423

Phone

(984) 332-9631

NPI assigned

Aug 25, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Jennifer Putt Group, PLLC

  • Clinical Social Worker
  • Holly Springs, NC
  • NPI 1437991767
  NPD Authorized official
• Duke University Affiliated Physicians, Inc.

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1316975972
  NPD
• Duke University Affiliated Physicians, Inc.

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1710120795
  NPD
• Duke University Affliated Physicians, Inc

  • Family Medicine Physician
  • Apex, NC
  • NPI 1205189602
  NPD

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1124251244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVENT MEADOWS LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407063",
            "telephone_number": "805-660-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HOLLY SPRINGS RD STE 202",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409423",
            "telephone_number": "984-332-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTT",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Private Diagnostic Clinic, PLLC
• Providence Therapy, PA
• Samuel Puleio, PHARM.D.
• Faith Purdie
• Stephanie Ann Putkowski Augustus, OTR/L
• Jennifer Mary Putzi, LCMHC-A
• Jibran Qayumi, DPT
• Ashley Nicole Raab
• Ashley Taylor Railsback, O.T.
• Raleigh NC Endoscopy ASC LLC

• Clinical Social Worker in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.