Jenny Foote, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW138890 Issued in PA

Practice address

620 Mill St Ste 203
Danville, PA 17821-1065

Phone

(570) 218-8596

NPI assigned

Sep 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mind and Thrive Wellness, LLC

  • Clinical Social Worker
  • Danville, PA
  • NPI 1801516208
  NPD

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1255117180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MILL ST STE 203",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211065",
            "telephone_number": "570-218-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MILL ST STE 203",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211065",
            "telephone_number": "570-218-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOTE",
        "first_name": "JENNY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW138890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Garrison Fluharty V, MD
• Dolkas Andin Focham
• Dean Richard Focht III, M.D.
• Luiz Goncalves Foernges, M.D.
• Michael A. Foltzer, M.D.
• Mitchell Forgash, RDN, LDN
• Anthony Forman, RN
• Kailyn Forman, CRNA
• Brandon Kenneth Fornwalt, MD, PHD
• Sheri L. Fornwalt, CRNP

• Social Worker in Danville, PA
• Providers in Danville, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.