Jeronica D Frierson, LICSW
Individual provider Active NPI Clinical Social Worker · Huntsville, AL
NPI 1366053795 · NPPES record last updated Aug 10, 2020
Key facts
- NPI
- 1366053795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4518C (AL)
- Practice address
- 121 Rose Dr
Huntsville, AL 35811-9015 - Phone
- (989) 295-7961
- NPI assigned
- Aug 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4518C | AL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Wellness Perspective, LLC | Clinical | Current |
Accepting new patients |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- jeronicafrierson@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4518C | AL | Yes |
Addresses
Primary practice location
121 Rose Dr
Huntsville, AL 35811-9015
Mailing address
121 Rose Dr
Huntsville, AL 35811-9015
Phone (989) 295-7961
Other providers in Huntsville, AL
- Curt Leslie Freudenberger
- Francesca Freudenburger
- Lydia Freund
- Matthew P Friedt
- Casey Friend
- Patricia L Frierson
- Katie A Fritz
- Ashley Froscello I
- Mark Alexander Fruendt
- Michael Dale Fruendt
All providers in Huntsville, AL · Clinical Social Worker in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.