Jennifer R. Vines LCSW Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3064 Issued in LA

Legal business name

JENNIFER R. VINES LCSW INC

Practice address

614 W Saint Mary Blvd
Lafayette, LA 70506-3538

Phone

(337) 235-5088

NPI assigned

Nov 27, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Rogers Vines, LCSWNPI 1629047402

Title

Owner

Phone

(337) 235-5088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

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

• Jennifer Rogers Vines, LCSW

  • Mental Health Counselor
  • Lafayette, LA
  • NPI 1629047402
  Medicare reassignment NPD Authorized official
• Terry T. Judice, LCSW

  • Clinical Social Worker
  • Lafayette, LA
  • NPI 1063463354
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1164604609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 W SAINT MARY BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063538",
            "telephone_number": "337-235-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W SAINT MARY BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063538",
            "telephone_number": "337-235-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER R. VINES LCSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2024-07-17",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "VINES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ROGERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-235-5088",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jami Jenkins, PHARMD,RPH
• Nkenge Jenkins, LPC
• Patsy Jenkins, NP
• Ronald Armand Jenkins, M.D.
• Dakota Frederick Jenneman, DO
• Jennings Family Chiropractic Clinic Inc.
• Amanda Jennings, FNP
• Charmaine Jennings
• Jamiri Jakeishia Jennings, MS, CGC
• Michael J. Jennings, MD

• Clinical Social Worker in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.