Individual provider Active NPI

Linda Marie Fisher-Jenkins

  • School Social Worker
  • Kettering, OH
National Provider Identifier
1124575949
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
S.1100279 Issued in OH
Practice address
1349 E Stroop Rd
Kettering, OH 45429-4925
Phone
(937) 258-4244
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X S.1100279 OH Primary

Addresses

Primary practice location

1349 E Stroop Rd
Kettering, OH 45429-4925

Mailing address

557 Stonecroft Dr
Springfield, OH 45502-8377
Phone (937) 258-4244

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

LicenseStateTypeSpecialty
S.1100279OHMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1124575949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 STONECROFT DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455028377",
            "telephone_number": "937-258-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 E STROOP RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454294925",
            "telephone_number": "937-258-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER-JENKINS",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "S.1100279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.