Jennifer Patrick, LCSW, Limited

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JENNIFER PATRICK, LCSW, LIMITED

Practice address

2625 Fairway Dr
Ste. a
Fulton, MO 65251-4023

Phone

(573) 642-2102

NPI assigned

Oct 26, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Michele Patrick, LCSW

Title

Sole-Proprietor

Phone

(573) 642-2102

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darlene Nichole Rohn, LCSW

  • Social Worker
  • Kirksville, MO
  • NPI 1164560132
  NPD (past)

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1316247265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 FAIRWAY DR",
            "address_2": "STE. A",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652514023",
            "telephone_number": "573-642-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 FAIRWAY DR",
            "address_2": "STE. A",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652514023",
            "telephone_number": "573-642-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER PATRICK, LCSW, LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "SOLE-PROPRIETOR",
        "authorized_official_telephone_number": "573-642-2102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831182427",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Ann Jackson, RPH
• Kara Beth Jaegers, R.D. L.D
• James M. McCall, D.D.S., P.C.
• James W Vann Inc
• Jefferson City Medical Group, P.C.
• John Mark Jennings, RPH
• Paula Jean Jennings, ATC, LAT
• Donna Jo Johnmeyer, MSW, LCSW
• Robert William Johnson, PH.D.
• Joshua S. Prather DDS, LLC

• Clinical Social Worker in Fulton, MO
• Providers in Fulton, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.