Individual provider Active NPI

Jennifer Kathleen Towns, LMSW

  • Clinical Social Worker
  • Gaylord, MI
National Provider Identifier
1376784041
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087428 Issued in MI
Practice address
800 Livingston Blvd Ste a
Gaylord, MI 49735-8351
Phone
(989) 732-7558
NPI assigned
Mar 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801087428 MI Primary

Addresses

Primary practice location

800 Livingston Blvd Ste a
Gaylord, MI 49735-8351

Mailing address

2454 Center St
Boyne Falls, MI 49713-9754
Phone (231) 758-2439

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
6801087428MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Community Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1376784041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 CENTER ST",
            "city": "BOYNE FALLS",
            "state": "MI",
            "postal_code": "497139754",
            "telephone_number": "231-758-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LIVINGSTON BLVD STE A",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358351",
            "telephone_number": "989-732-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNS",
        "first_name": "JENNIFER",
        "middle_name": "KATHLEEN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.