Jennifer Whitehead

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JENNIFER WHITEHEAD

Practice address

25 Roxbury St
Keene, NH 03431-3257

Phone

(603) 620-3662

NPI assigned

Dec 29, 2022

Organization subpart

Yes

Parent organization

JENNIFER WHITEHEADAs reported in NPPES

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

Authorized official

Name

Jennifer Whitehead, LICSW, MLADC

Title

Therapist

Phone

(603) 620-3662

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Whitehead Doing business as

Electronic endpoints 1

Part of

Jennifer Whitehead

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Porschitz, MSW, LICSW

  • Clinical Social Worker
  • Keene, NH
  • NPI 1134386113
  NPD

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1144933680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 SOUTH LINCOLN STREET",
            "address_2": "KEENE",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "03431",
            "telephone_number": "603-620-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROXBURY ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313257",
            "telephone_number": "603-620-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER WHITEHEAD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JENNIFER WHITEHEAD",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "603-620-3662",
        "authorized_official_credential": "LICSW, MLADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3121329",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25 Roxbury St",
            "city": "Keene",
            "state": "NH",
            "country_code": "US",
            "postal_code": "034313257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jennifer Whitehead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Kristin Janules
• Kelly Jean
• Jebediah S Christy DDS - Keene PC
• Jebediah S. Christy, D.D.S., PC
• Adrienne Jenkins
• Evan Johns, LADC
• Rylee Johnson-Wheelock, LASUDC
• Ava Marie Johnson
• Carrie Lynn Johnson, BA
• Clark Lewis Johnson, LMFT

• Clinical Social Worker in Keene, NH
• Providers in Keene, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.