Active NPI
Jenny Lynn Hovanec, M.S.W. - L.C.S.W
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1215139969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C002878
- Practice address
- 7401 Carmel Executive Park Dr
Suite 210
Charlotte, NC 28226-8275 - Phone
- (704) 752-8414
- Fax
- (704) 752-8104
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C002878 | NC | Primary |
Addresses
Primary practice location
7401 Carmel Executive Park Dr
Suite 210
Charlotte, NC 28226-8275
Mailing address
7401 Carmel Executive Park Dr
Suite 210
Charlotte, NC 28226-8275
Phone (704) 752-8414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002530 | Medicaid | NC |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Counseling Group of Charlotte, Inc. | Past | Accepting new patients | |
| Jewish Family Services of Greater Charlotte, Inc | Clinical | Past | Accepting new patients |
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.
-
- Marriage & Family Therapist
- Charlotte, NC
- NPI 1558335679
-
- Clinical Social Worker
- Charlotte, NC
- NPI 1083691695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190937600000",
"number": "1215139969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 CARMEL EXECUTIVE PARK DR",
"address_2": "SUITE 210",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282268275",
"telephone_number": "704-752-8414",
"fax_number": "704-752-8104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 CARMEL EXECUTIVE PARK DR",
"address_2": "SUITE 210",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282268275",
"telephone_number": "704-752-8414",
"fax_number": "704-752-8104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOVANEC",
"first_name": "JENNY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M.S.W. - L.C.S.W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2007-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C002878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002530",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.