Individual provider Active NPI

Jennifer Stowe, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1417189705
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005104 Issued in GA
Practice address
1430 Stephens Dr NE
Atlanta, GA 30329-3716
Phone
(404) 245-6536
Fax
(404) 320-7211
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW004447 GA
Clinical Social Worker 1041C0700X CSW005104 GA Primary

Addresses

Primary practice location

1430 Stephens Dr NE
Atlanta, GA 30329-3716

Mailing address

1430 Stephens Dr NE
Atlanta, GA 30329-3716
Phone (404) 245-6536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20160825000754 GA Practitioner - Clinical Social Worker 9739474099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

969 McDonald Rd
Covington, GA 30014-5761
Phone (518) 246-6884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MSW004447GAMDSocial Worker
CSW005104GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Think Joy, LLC Clinical CurrentSince Jan 3, 2025 Accepting new patients
Stowe Behavioral Health, LLC CurrentSince Jan 3, 2025 Accepting new patients
Lucid Lane Providers, P.C. Clinical PastSince Jun 15, 2023 Accepting new patients

Organizations & group practices 3

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1417189705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 STEPHENS DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293716",
            "telephone_number": "404-245-6536",
            "fax_number": "404-320-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 STEPHENS DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293716",
            "telephone_number": "404-245-6536",
            "fax_number": "404-320-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWE",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW004447",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.