Organization Active NPI

Jennifer Putt Group, PLLC

  • Clinical Social Worker
  • Holly Springs, NC
National Provider Identifier
1437991767
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JENNIFER PUTT GROUP, PLLC
Practice address
113 Holly Springs Rd Ste 202
Holly Springs, NC 27540-9423
Phone
(805) 660-7175
NPI assigned
Jun 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Jennifer Putt, LCSWNPI 1124251244
Title
Owner and Ceo
Phone
(984) 332-9631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

113 Holly Springs Rd Ste 202
Holly Springs, NC 27540-9423

Mailing address

101 Avent Meadows LN
Holly Springs, NC 27540-7063
Phone (805) 660-7175

National Provider Directory

National Provider Directory

Locations

113 Holly Springs Rd
Ste 202
Holly Springs, NC 27540
Phone (805) 660-7175

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1437991767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVENT MEADOWS LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407063",
            "telephone_number": "805-660-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HOLLY SPRINGS RD STE 202",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409423",
            "telephone_number": "805-660-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER PUTT GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "PUTT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "984-332-9631",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.