Active NPI
Jennifer N Phillips-Herrington, L.B.S.W.
- Social Worker
- Clarinda, IA
National Provider Identifier
1134334840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 01700
- Practice address
- 1800 N 16TH St
Clarinda, IA 51632-1165 - Phone
- (712) 542-2388
- Fax
- (712) 542-2984
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 01700 | IA | Primary |
Addresses
Primary practice location
1800 N 16TH St
Clarinda, IA 51632-1165
Mailing address
619 N 12TH St
Clarinda, IA 51632-1242
Phone (712) 542-5336
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134334840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 N 12TH ST",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516321242",
"telephone_number": "712-542-5336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 N 16TH ST",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516321165",
"telephone_number": "712-542-2388",
"fax_number": "712-542-2984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS-HERRINGTON",
"first_name": "JENNIFER",
"middle_name": "N",
"credential": "L.B.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "01700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarinda, IA
- Page Care Facility (terrace view residential)
- Page Care Facility (Terrace View Residential)
- Page Care Facility (Terrace View Residential)
- Page Home Care
- Phill Mont Company (Medicap Pharmacy)
- Hallena Phillips
- Douglas Elton Poland, L.M.S.W.
- Dawn Louise Pulliam
- Pure Health Services LLC
- Pure Rehabilitation LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.