Individual provider Active NPI

Zsa Zsa Dianne Jenkins, LCSW

  • Clinical Social Worker
National Provider Identifier
1164523890
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
02785 Issued in TX
Practice address
CMR 457 Box 88
Apo, AE 09033
DE
Phone
0114997215099904
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 02785 TX Primary

Addresses

Primary practice location

CMR 457 Box 88
Apo, AE 09033
DE

Mailing address

CMR 457 Box 88
Apo, AE 09033
DE
Phone 0114997215099904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040802000103 TX Practitioner - Clinical Social Worker 3274504683 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deblin Health Concepts & Associates, LLC Clinical CurrentSince Oct 15, 2014 Accepting new patients
Atcg LLC Clinical Past Accepting new patients

Locations

101 Feu Follet Rd
Ste 100
Lafayette, LA 70508
Phone (337) 233-1165

4131 Spicewood Springs Rd
Ste J1
Austin, TX 78759
Phone 7136869194 ext. 69194

4131 Spicewood Springs Rd
Austin, TX 78759
Phone (512) 342-8689

1214 N Post Oak Rd
Ste 100
Houston, TX 77055
Phone (713) 681-9100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164523890",
    "addresses": [
        {
            "country_code": "DE",
            "country_name": "Germany",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "CMR 457 BOX 88",
            "city": "APO",
            "state": "AE",
            "postal_code": "09033",
            "telephone_number": "0114997215099904"
        },
        {
            "country_code": "DE",
            "country_name": "Germany",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "CMR 457 BOX 88",
            "city": "APO",
            "state": "AE",
            "postal_code": "09033",
            "telephone_number": "0114997215099904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ZSA ZSA",
        "middle_name": "DIANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "02785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.