Denise Diane Jenkins, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34121 Issued in TX

Practice address

751 E Debbie LN Ste 105
Mansfield, TX 76063-2955

Phone

(817) 313-3348

NPI assigned

Feb 6, 2007

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

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.

• Affect Counseling Denise Diane Jenkins Sole MBR

  • Clinical Social Worker
  • Mansfield, TX
  • NPI 1740976836
  NPD Authorized official
• Albert Boyd MD PA

  • Family Medicine Physician
  • Desoto, TX
  • NPI 1336329150
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1336288158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E DEBBIE LN STE 105",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632955",
            "telephone_number": "817-313-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E DEBBIE LN STE 105",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632955",
            "telephone_number": "817-313-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DENISE",
        "middle_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "34121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaremy Emer James, DO
• Stacey Jantzen, AGACNP-BC
• Martin Keller Jeane, PH.D., LPC-S, LMFT
• Jeanuine, Inc. Dba Comfort Keepers 302
• Kylie Jefferson
• Eric Richard Jenkins, MD
• Jessica Jenkins, FNP-BC
• Jennifer E Bullard Ma, LPC, PC
• Kristina M. Jennings, MA, LPC
• Zoe Samantha Jennings, PA-C

• Clinical Social Worker in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.