Jennifer Fellows Licsw, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JENNIFER FELLOWS LICSW, LLC

Practice address

1795 Williston Rd Ste 330
South Burlington, VT 05403-6487

Phone

(802) 233-7420

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Fellows, LICSWNPI 1225201536

Title

Clinical Social Worker

Phone

(802) 233-7420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer C Fellows, LICSW

  • Clinical Social Worker
  • South Burlington, VT
  • NPI 1225201536
  Medicare reassignment NPD Authorized official
• Erika Davis, LICSW

  • Clinical Social Worker
  • South Burlington, VT
  • NPI 1518098615
  NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1467130328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 PILLSBURY LN",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958728",
            "telephone_number": "802-233-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 WILLISTON RD STE 330",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036487",
            "telephone_number": "802-233-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER FELLOWS LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "FELLOWS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "802-233-7420",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hibo I Jafar
• Elizabeth F. Jaffe, MD
• Elysabethe A James, PA
• Lauren Ashley Jarvis, DO
• Danielle Jatlow, LICSW,LADC
• Lindsay Bennigson Jernigan, PH.D., M.A.
• Joanna Helene Jerose, MSW, LADC
• Jessica Webster Psychotherapy LLC
• Jane Jevons, PA-C
• Amber Julia Jimerson, FNP-BC

• Clinical Social Worker in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.