Organization Active NPI

Jennifer C Duster Licsw Pip LLC

  • Clinical Social Worker
  • Madison, AL
National Provider Identifier
1376285072
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JENNIFER C DUSTER LICSW PIP LLC
Practice address
44 Hughes Rd Ste 1050
Madison, AL 35758-3046
Phone
(256) 631-7898
Fax
(256) 542-3366
NPI assigned
Apr 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Jennifer Duster, LICSW PIPNPI 1760125306
Title
Owner
Phone
(256) 631-7898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

44 Hughes Rd Ste 1050
Madison, AL 35758-3046

Mailing address

44 Hughes Rd Ste 1050
Madison, AL 35758-3046
Phone (256) 631-7898

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1376285072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD STE 1050",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583046",
            "telephone_number": "256-631-7898",
            "fax_number": "256-542-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD STE 1050",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583046",
            "telephone_number": "256-631-7898",
            "fax_number": "256-542-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER C DUSTER LICSW PIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "DUSTER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-631-7898",
        "authorized_official_credential": "LICSW PIP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.