Active NPI
Michelle Jennings, LCSW
- Clinical Social Worker
- Huntsville, AL
National Provider Identifier
1255700704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3817C
- Practice address
- 2308 Pansy St SW
Huntsville, AL 35801-3803 - Phone
- (256) 533-4377
- Fax
- (256) 539-7874
- NPI assigned
- Sep 15, 2015
- 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 | 3817C | AL | Primary |
Addresses
Primary practice location
2308 Pansy St SW
Huntsville, AL 35801-3803
Mailing address
2605 Whitesburg Dr SE
Huntsville, AL 35801-2836
Phone (256) 533-4377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330000014 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2308 Pansy St SW
Huntsville, AL 35801-3803
Phone (256) 533-4377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Directions Counseling Inc | Clinical | Current | Accepting new patients |
Locations
2308 Pansy St SW
Huntsville, AL 35801
Phone (256) 297-1799
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1255700704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 WHITESBURG DR SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358012836",
"telephone_number": "256-533-4377",
"fax_number": "256-539-7874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2308 PANSY ST SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013803",
"telephone_number": "256-533-4377",
"fax_number": "256-539-7874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "MICHELLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "3817C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330000014",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.