Individual provider Active NPI

Alfrenett Johnson-Orr, SOCIAL WORKER

  • Clinical Social Worker
  • Jackson, MS
National Provider Identifier
1164601597
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C2882 Issued in MS
Practice address
370 Elms Court Cir
Jackson, MS 39204-4332
Phone
(601) 371-0115
NPI assigned
Nov 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X C2882 MS
Clinical Social Worker 1041C0700X C2882 MS Primary
School Social Worker 1041S0200X C2882 MS

Addresses

Primary practice location

370 Elms Court Cir
Jackson, MS 39204-4332

Mailing address

370 Elms Court Cir
Jackson, MS 39204-4332
Phone (601) 371-0115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C2882MSMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1164601597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 ELMS COURT CIR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044332",
            "telephone_number": "601-371-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 ELMS COURT CIR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044332",
            "telephone_number": "601-371-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-ORR",
        "first_name": "ALFRENETT",
        "name_prefix": "Ms.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "C2882",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C2882",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MS",
            "license": "C2882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.