Individual provider Active NPI

Jenny Marie Wright

  • Social Worker
  • Nevada, MO
National Provider Identifier
1164081691
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
100 S Prewitt St
Nevada, MO 64772-1760
Phone
(417) 682-5757
Fax
(417) 682-5757
NPI assigned
Jun 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

100 S Prewitt St
Nevada, MO 64772-1760

Mailing address

1107 Broadway St
Lamar, MO 64759-1758
Phone (417) 682-5757

Other practice location 1

1107 Broadway St
LaMar, MO 64759-1758
Phone (417) 682-5757

Other practice location 2

210 S Elm St
Nevada, MO 64772-3413
Phone (417) 283-2072

Other practice location 3

407 Main St
Golden City, MO 64748-8266
Phone (417) 682-5757

Other practice location 4

104 Sunset View Dr
Butler, MO 64730-9400
Phone (417) 682-5757

Other names 1

  • Jenny Marie Ford Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address allied@keinet.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20190625004020 MO Practitioner - Clinical Social Worker 0446584577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 S Prewitt St
Nevada, MO 64772-1760
Phone (417) 283-2072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Full Health Wellness Systems CurrentSince Oct 15, 2023 Accepting new patients
Allied Mental Health Associates, Inc. Clinical Past Accepting new patients
Allied Mental Health Consultants LLC Clinical PastSince Aug 18, 2015 Accepting new patients

Locations

210 S Elm St
Nevada, MO 64772
Phone (417) 283-2072

100 S Prewitt St
Nevada, MO 64772
Phone (417) 283-2072

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1164081691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BROADWAY ST",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647591758",
            "telephone_number": "417-682-5757",
            "fax_number": "417-682-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S PREWITT ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647721760",
            "telephone_number": "417-682-5757",
            "fax_number": "417-682-5757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 Broadway St",
            "address_purpose": "LOCATION",
            "city": "LaMar",
            "state": "MO",
            "postal_code": "647591758",
            "country_code": "US",
            "telephone_number": "417-682-5757",
            "fax_number": "417-682-5757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 S Elm St",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "MO",
            "postal_code": "647723413",
            "country_code": "US",
            "telephone_number": "417-283-2072",
            "fax_number": "417-283-2073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 Main St",
            "address_purpose": "LOCATION",
            "city": "Golden City",
            "state": "MO",
            "postal_code": "647488266",
            "country_code": "US",
            "telephone_number": "417-682-5757",
            "fax_number": "417-682-5757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Sunset View Dr",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "MO",
            "postal_code": "647309400",
            "country_code": "US",
            "telephone_number": "417-682-5757",
            "fax_number": "417-682-5757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JENNY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-09",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allied@keinet.net",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1107 Broadway St",
            "city": "LaMar",
            "state": "MO",
            "country_code": "US",
            "postal_code": "647591758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "FORD",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nevada, MO

Sources for this page

Verify at the official NPI Registry.