Individual provider Active NPI

Jennifer Susanne Neher, LCSW

  • Clinical Social Worker
  • Pascagoula, MS
National Provider Identifier
1508395567
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C8415 Issued in MS
Practice address
5009 Telephone Rd
Pascagoula, MS 39567-1832
Phone
(228) 222-4774
Fax
(228) 205-0559
NPI assigned
Jun 5, 2017
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C8415 MS Primary

Addresses

Primary practice location

5009 Telephone Rd
Pascagoula, MS 39567-1832

Mailing address

5009 Telephone Rd
Pascagoula, MS 39567-1832
Phone (228) 222-4774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20171110000428 MS Practitioner - Clinical Social Worker 7315203171 Practice locations: Pascagoula, MS

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Family Counseling Agency Clinical PastSince Feb 9, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1508395567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 TELEPHONE RD",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395671832",
            "telephone_number": "228-222-4774",
            "fax_number": "228-205-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 TELEPHONE RD",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395671832",
            "telephone_number": "228-222-4774",
            "fax_number": "228-205-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEHER",
        "first_name": "JENNIFER",
        "middle_name": "SUSANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.