Jennifer Nye, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LMSW-18130 Issued in AZ

Practice address

4510 E Banner Gateway Dr Apt 1022
Mesa, AZ 85206-4749

Phone

(708) 307-5146

NPI assigned

Jan 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• The Next Step Counseling Services, LLC

  • Clinical Social Worker
  • Gilbert, AZ
  • NPI 1881235356
  NPD (past)

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1265021083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 E BANNER GATEWAY DR APT 1022",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064749",
            "telephone_number": "708-307-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 E BANNER GATEWAY DR APT 1022",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064749",
            "telephone_number": "708-307-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYE",
        "first_name": "JENNIFER",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LMSW-18130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thenextstepaz@com",
            "affiliation": "N",
            "address_1": "4510 E Banner Gateway Dr Apt 1022",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852064749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nutrifyi, LLC
• Nutrition Made Simple
• Chikwendu C Nwosu, MD
• Nwse: Nicole Warner Shaha Enterprises, LLC
• Jace L Nybo, DC
• Diana Marie Nyren, COTA
• Imma Nzomo, PMHNP
• Molly Elizabeth O'Brien I, DO
• Seth O'Brien, CP, FAAOP
• Kristen O'Connor, MS CCC-SLP

• Clinical Social Worker in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.