Jennifer King, DSW, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I.1100012 Issued in OH

Practice address

29055 Clemens Rd
Suite a
Westlake, OH 44145-1135

Phone

(440) 250-9880

NPI assigned

Apr 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Boyle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jefferson University Physicians

  dba Jefferson GI

  • Gastroenterology Physician
  • Phila, PA
  • NPI 1205898723
  NPD (past)

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1184913915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4506 COLLEGE RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29055 CLEMENS RD",
            "address_2": "SUITE A",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451135",
            "telephone_number": "440-250-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1100012",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BOYLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Genevieve Ann Kilgore, COTA
• Patrick M Killian, M.D.
• Kincaid & Assoc. Tax Advisors
• King James Medical Laboratory Inc
• Abbey Claire King, LPCC
• Shannon Leigh King, DO
• Dellana Kinkopf, M.A. CCC-SLP
• Kristine Kinsey, CNP
• Sona S Kirpekar, MD
• Louis Stephen Kish, MD

• Social Worker in Westlake, OH
• Providers in Westlake, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.