Jason M Scrivner, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3504C Issued in AL

Practice address

7301 Kendama CT SE
Owens Cross Roads, AL 35763-3014

Phone

(256) 929-8644

NPI assigned

Jun 21, 2022

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1407587355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 KENDAMA CT SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357633014",
            "telephone_number": "256-929-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 KENDAMA CT SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357633014",
            "telephone_number": "256-929-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIVNER",
        "first_name": "JASON",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3504C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Kate Ritter, PT, DPT
• Tommie Matthew Robinson III, M.D.
• Adrienne Rain Savage, PHARM.D.
• Courtney Elise Savignano
• Caitlyn Amanda Schmidt, LPC
• Amanda Clark Seltzer, DC
• Jason Seth Seltzer, D.C.
• Sequel Tsi of Alabama, LLC New Directions
• Craig Glen Shadinger, D.M.D.
• Shepherding Hope

• Clinical Social Worker in Owens Cross Roads, AL
• Providers in Owens Cross Roads, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.