Jennifer Woods Tunstall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006091 Issued in VA

Practice address

350 Poplar Dr
Petersburg, VA 23805-9367

Phone

(804) 733-6874

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Kay Woods Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• District 19 Community Services Board

  • Community/Behavioral Health Agency
  • Petersburg, VA
  • NPI 1225094451
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1396780334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 POPLAR DR",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059367",
            "telephone_number": "804-722-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 POPLAR DR",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059367",
            "telephone_number": "804-733-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNSTALL",
        "first_name": "JENNIFER",
        "middle_name": "WOODS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4945280",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WOODS",
            "middle_name": "KAY",
            "credential": "B.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul Eric Tschetschot, DC
• Tuari Logistics
• Amenra F Tuason, MD
• Tubular Fabricators Industry, Inc.
• Terry M Tuck, NP-BC
• Luke C Turner
• Onaje Ransom Turner, LCSW
• Joseph Tyler, RPH
• Dionne Michelle Tyree, CRNA
• Uhs Petersburg Oud LLC

• Clinical Social Worker in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.