Active NPI
Jennifer Dale Occhipinti, LCSW, LCDC
- Clinical Social Worker
- Granbury, TX
National Provider Identifier
1588493936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 69404
- Practice address
- 1201 W 2ND St Ste 105
Granbury, TX 76048-1490 - Phone
- (817) 330-4898
- Fax
- (844) 999-1487
- NPI assigned
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15960 | TX | |
| Social Worker | 104100000X | 69404 | TX | |
| Clinical Social Worker | 1041C0700X | 69404 | TX | Primary |
Addresses
Primary practice location
1201 W 2ND St Ste 105
Granbury, TX 76048-1490
Mailing address
1030 E Hwy 377 Ste 110
PMB 412
Granbury, TX 76048-1244
Phone (817) 330-4898
Other practice location 1
624 Oldham Ln
Granbury, TX 76048-6278
Phone (817) 559-4694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250709000077 | TX | Practitioner - Clinical Social Worker | 9234643677 | Practice locations: Granbury, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1201 W 2ND St
Suite 105
Granbury, TX 76048-1490
Phone (817) 330-4898
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15960 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1588493936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 E HWY 377 STE 110",
"address_2": "PMB 412",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760481244",
"telephone_number": "817-330-4898",
"fax_number": "844-999-1487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W 2ND ST STE 105",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760481490",
"telephone_number": "817-330-4898",
"fax_number": "844-999-1487"
}
],
"practiceLocations": [
{
"address_1": "624 Oldham Ln",
"address_purpose": "LOCATION",
"city": "Granbury",
"state": "TX",
"postal_code": "760486278",
"country_code": "US",
"telephone_number": "817-559-4694",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OCCHIPINTI",
"first_name": "JENNIFER",
"middle_name": "DALE",
"name_prefix": "Ms.",
"credential": "LCSW, LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-01",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "15960",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "69404",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "69404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.