Jennifer Lynne Dedman, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26255-M Issued in AR

Practice address

8869 Highway 79 S
Pine Bluff, AR 71603-8827

Phone

(501) 359-6850

NPI assigned

Aug 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Arkansas Baptist Children's Homes and Family Ministries

  dba Living Well Professional Counseling

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1972159267
  NPD

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1518791664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8869 HIGHWAY 79 S",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716038827",
            "telephone_number": "501-359-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8869 HIGHWAY 79 S",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716038827",
            "telephone_number": "501-359-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDMAN",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "26255-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakita Davis
• Patricia A Davis, LCSW
• Dotiana Marnise Dawson
• DC Development PA (Accident & Injury Chiropractic)
• Devon Deden, APRN-CNP
• John D Dedman, M.D.
• Delta Diagnostic & Therapeutic Rad
• Matthew Alan Devers, PHARMD
• Carla Devose, APRN
• Shabbir Dharamsey, M.D.

• Clinical Social Worker in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.