Jennifer Lynn Woodall

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8959-C Issued in NV

Practice address

2000 S Eastern Ave
Las Vegas, NV 89104-4100

Phone

(702) 604-7767

NPI assigned

May 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Neubauer Mental Health Services, Apc

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1316273832
  Medicare reassignment NPD
• Pivot Behavioral Health Services

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1649026170
  NPD Authorized official
• Pivot Behavioral Health Services LLC

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1396430682
  NPD Authorized official

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1396004735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 MAPLELEAF ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891421208",
            "telephone_number": "702-604-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891044100",
            "telephone_number": "702-604-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8959-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Wood
• Talula Mae Wood
• Terri Ann Wood
• Tiffanie Wood
• Chelsea Elizabeth Woodall, M.S. CPC INTERN
• Nature Woodall
• Revah Woodall
• Akilah Laneir Woodard
• Ariel Woodard
• Barbara Woodard

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.