Individual provider Active NPI

Jennifer Fletcher, LCSW

  • Social Worker
  • Spring Hill, FL
National Provider Identifier
1356028666
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW21153 Issued in FL
Practice address
3139 Dumont Ave
Spring Hill, FL 34609-4236
Phone
(352) 631-1486
NPI assigned
Jun 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 SW21153 FL
Social Worker 104100000X SW21153 FL Primary

Addresses

Primary practice location

3139 Dumont Ave
Spring Hill, FL 34609-4236

Mailing address

3526 Arrowhead Ave
Spring Hill, FL 34606-2306
Phone (352) 631-1486

Other practice location 1

3526 Arrowhead Ave
Spring Hill, FL 34606-2306
Phone (352) 631-1486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624000024 FL Practitioner - Clinical Social Worker 1759824451 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Community Healthcare Group Inc CurrentSince Apr 13, 2024 Accepting new patients
Premier Community Healthcare Group, Inc. CurrentSince Apr 13, 2024 Accepting new patients

Locations

14027 5th St
Dade City, FL 33525
Phone (813) 782-6064

Organizations & group practices 2

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": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1356028666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 ARROWHEAD AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062306",
            "telephone_number": "352-631-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 DUMONT AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346094236",
            "telephone_number": "352-631-1486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3526 Arrowhead Ave",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346062306",
            "country_code": "US",
            "telephone_number": "352-631-1486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21153",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW21153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.