Active NPI
Sean Holcy Jernigan, B.S.W.
- Social Worker
- Oak Park, MI
National Provider Identifier
1356748610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 14461 Lincoln St
Oak Park, MI 48237-1331 - Phone
- (248) 469-2177
- NPI assigned
- Dec 1, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
14461 Lincoln St
Oak Park, MI 48237-1331
Mailing address
14461 Lincoln St
Oak Park, MI 48237-1331
Phone (248) 469-2177
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1356748610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14461 LINCOLN ST",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482371331",
"telephone_number": "248-469-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14461 LINCOLN ST",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482371331",
"telephone_number": "248-469-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERNIGAN",
"first_name": "SEAN",
"middle_name": "HOLCY",
"credential": "B.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-01",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, MI
- Jay L. Cohen, PH.D., PLLC
- JCB Adult Day Service
- JCB Adult Day Services
- JD Swifty Transportation LLC
- Michael Jenkins Jr., EMT., CHT
- Jewish Apartments and Services Fka Jewish Federation Apartments
- Jewish Family Service
- Carolyn Jimmerson Lee, DO
- Johnson & Johnson P.T. L.L.C
- Johnson Dialysis Management, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.