Individual provider Active NPI

Jennifer Anne Schwartz, LICSW

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1538467774
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007771 Issued in NC
Practice address
117 Ann LN
Chapel Hill, NC 27516-9390
Phone
(612) 644-4734
NPI assigned
Mar 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-30961 ID
Clinical Social Worker 1041C0700X LW60108631 WA
Clinical Social Worker 1041C0700X C007771 NC Primary

Addresses

Primary practice location

117 Ann LN
Chapel Hill, NC 27516-9390

Mailing address

117 Ann LN
Chapel Hill, NC 27516-9390
Phone (612) 644-4734

Other practice location 1

705 W Main St
Unit C
Carrboro, NC 27510-1653
Phone (612) 644-4734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20120829000465 NC Practitioner - Clinical Social Worker 6204010176 Reassigns benefits to 1 organization
Practice locations: Chapel Hill, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

117 Ann LN
Chapel Hill, NC 27516-9390
Phone (919) 504-5386

1710 E Franklin St
Suite 1151
Chapel Hill, NC 27514-5851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-30961IDMDClinical Social Worker
LW60108631WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Durham-Chapel Hill Jewish Federation CurrentSince Jun 13, 2013 Accepting new patients

Locations

1937 W Cornwallis Rd
Durham, NC 27705
Phone (919) 354-4922

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1538467774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ANN LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169390",
            "telephone_number": "612-644-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 ANN LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169390",
            "telephone_number": "612-644-4734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 W Main St",
            "address_2": "Unit C",
            "address_purpose": "LOCATION",
            "city": "Carrboro",
            "state": "NC",
            "postal_code": "275101653",
            "country_code": "US",
            "telephone_number": "612-644-4734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-30961",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60108631",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.