Individual provider Active NPI

Jennifer June Strayer, LCSW

  • Clinical Social Worker
  • North Little Rock, AR
National Provider Identifier
1285993808
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3816-C Issued in AR
Practice address
1920 Main St
#223
North Little Rock, AR 72114-2872
Phone
(501) 313-1507
NPI assigned
May 16, 2012
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2408-M AR
Clinical Social Worker 1041C0700X 3816-C AR Primary

Addresses

Primary practice location

1920 Main St
#223
North Little Rock, AR 72114-2872

Mailing address

1920 Main St
#223
North Little Rock, AR 72114-2872
Phone (501) 313-1507

Other names 1

  • Jennifer June Strayer Dyal Former name

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

State licenses

LicenseStateTypeSpecialty
2408-MARMDClinical Social Worker
3816-CARMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: jennifer.strayer.1@30520.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1285993808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MAIN ST",
            "address_2": "#223",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721142872",
            "telephone_number": "501-313-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MAIN ST",
            "address_2": "#223",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721142872",
            "telephone_number": "501-313-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAYER",
        "first_name": "JENNIFER",
        "middle_name": "JUNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2408-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "3816-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DYAL",
            "middle_name": "JUNE STRAYER",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.