Active NPI
Jennifer Rose Vandeweg, LMSW
- School Social Worker
- Hereford, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 18450
- Practice address
- 5770 E Hoot Owl Holw
Hereford, AZ 85615-9623 - Phone
- (706) 836-8373
- NPI assigned
- Nov 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 18450 | MD | Primary |
Addresses
Primary practice location
5770 E Hoot Owl Holw
Hereford, AZ 85615-9623
Mailing address
5770 E Hoot Owl Holw
Hereford, AZ 85615-9623
Phone (706) 836-8373
Other practice location 1
200 Booth St
Elkton, MD 21921-5657
Phone (410) 996-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251013002362 | AZ | Practitioner - Clinical Social Worker | 8224525456 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Help and Hope Counseling, LLC
Practice addresses (Care Compare)
100 S 7TH St
Suite 2And3
Sierra Vista, AZ 85635-2509
Phone (602) 435-4356
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18450 | MD | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Current | Accepting new patients | |
| Help and Hope Counseling, LLC | Current | Accepting new patients |
Locations
4111 E Valley Auto Dr
Ste 106
Mesa, AZ 85206
Phone (602) 341-3495
20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113
100 S 7th St
Ste 23
Sierra Vista, AZ 85635
Phone (602) 435-4356
1200 N El Dorado Pl
Ste 640
Tucson, AZ 85715
Phone (520) 298-9746
Organizations & group practices 2
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": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1417201708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5770 E HOOT OWL HOLW",
"city": "HEREFORD",
"state": "AZ",
"postal_code": "856159623",
"telephone_number": "706-836-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5770 E HOOT OWL HOLW",
"city": "HEREFORD",
"state": "AZ",
"postal_code": "856159623",
"telephone_number": "706-836-8373"
}
],
"practiceLocations": [
{
"address_1": "200 Booth St",
"address_purpose": "LOCATION",
"city": "Elkton",
"state": "MD",
"postal_code": "219215657",
"country_code": "US",
"telephone_number": "410-996-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDEWEG",
"first_name": "JENNIFER",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-08",
"last_updated": "2025-09-11",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MD",
"license": "18450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hereford, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.