Jennifer Ann Nevergole, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018836 Issued in PA

Practice address

1518 Walnut St
Ste.607
Philadelphia, PA 19102-3404

Phone

(267) 603-6290

Fax

(267) 200-0150

NPI assigned

Jul 11, 2011

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)

Enrolled

State licenses

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1144518275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S 15TH ST",
            "address_2": "903",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191025031",
            "telephone_number": "267-603-6290",
            "fax_number": "267-200-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST",
            "address_2": "STE.607",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023404",
            "telephone_number": "267-603-6290",
            "fax_number": "267-200-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVERGOLE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Harold Neustadter, M.D.
• Rebecca Freedman Neustein, M.D.
• Neutral Ground Healing Collective, LLC
• Jennifer Lauren Nevas, CRNP
• Never Alone Home Care, LLC.
• Michelle Jean Nevil, PA-C
• Avinoam Nevler, MD
• Dina Nevo, PSY.D. LCSW BCD
• New Beginings LLC
• New Beginnings Adult Day Center Inc

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.