Individual provider Active NPI

Jennifer Lee Myers, LCSW

  • Clinical Social Worker
  • Joplin, MO
National Provider Identifier
1366822645
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2017044325 Issued in MO
Practice address
3901 E. 32ND Street
Joplin, MO 64804-1509
NPI assigned
Jun 2, 2015
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2015015788 MO
Clinical Social Worker 1041C0700X 2017044325 MO Primary

Addresses

Primary practice location

3901 E. 32ND Street
Joplin, MO 64804-1509

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131

Other practice location 1

1230 N Duquesne Rd
Joplin, MO 64801-1509
Phone (417) 782-1443

Other practice location 2

501 N Sunset Ln
Raymore, MO 64083-9402
Phone (888) 403-1071

Other practice location 3

320 Mac Blvd
Nevada, MO 64772-3990
Phone (888) 403-1071

Other names 1

  • Mrs. Jennifer Lee Jeffries Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015015788MOMDSocial Worker
2017044325MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
College Skyline Center LLC PastSince Feb 1, 2010 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifermyers@tdh.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1366822645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E. 32ND STREET",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 N Duquesne Rd",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648011509",
            "country_code": "US",
            "telephone_number": "417-782-1443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Sunset Ln",
            "address_purpose": "LOCATION",
            "city": "Raymore",
            "state": "MO",
            "postal_code": "640839402",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Mac Blvd",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "MO",
            "postal_code": "647723990",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2015015788",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017044325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JEFFRIES",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.