Andria Jill Jennings, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-3617 Issued in AZ

Practice address

2262 W Magee Rd
Tucson, AZ 85742-4329

Phone

(520) 404-0296

Fax

(520) 744-6212

NPI assigned

Dec 28, 2006

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

Other identifiers 1

Other names 1

• Ms. Andria Jill Nisberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164588893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 W DANTE WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412606",
            "telephone_number": "520-404-0296",
            "fax_number": "520-744-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 W MAGEE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424329",
            "telephone_number": "520-404-0296",
            "fax_number": "520-744-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "ANDRIA",
        "middle_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-3617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SW",
            "identifier": "LCSW-3617",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDRIA",
            "last_name": "NISBERG",
            "middle_name": "JILL",
            "prefix": "MS.",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Jacobson MSN Pmhnp-BC PLLC
• Jennifer Lin M.D.
• Jennifer Parks, PLLC
• Jennifer Spera DDS PLLC
• Jennifer Valente Caywood OD LTD
• Angela Lynn Jennings, DPT
• Kyndall Jennings, PT, DPT
• Lauren Seall Jennings, AGPCNP-BC
• Xiamara Marie Jennings
• Jenny'S Speech and Learning Clinic

• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• 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.

Verify at the official NPI Registry.