Individual provider Active NPI

Jennifer Gregory

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1639593700
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0012167 Issued in DE
Practice address
500 W 10TH St
Wilmington, DE 19801-1422
Phone
(302) 230-9157
NPI assigned
Feb 10, 2014
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1362 DE
Clinical Social Worker 1041C0700X Q1-0012167 DE Primary

Addresses

Primary practice location

500 W 10TH St
Wilmington, DE 19801-1422

Mailing address

8 The GRN Ste 16821
Dover, DE 19901-3618
Phone (551) 265-8842

Other practice location 1

227 Thornton St
Dover, DE 19901-8824
Phone (551) 265-8842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20231120002803 DE Practitioner - Clinical Social Worker 9931557618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Supportive Care LLCGroup PAC ID 7719126655, 67 clinicians

Practice addresses (Care Compare)

3034 S Dupont Blvd
Smyrna, DE 19977-1898
Phone (718) 506-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1362DEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care LLC CurrentSince Dec 1, 2024 Accepting new patients
Haleness Help Counseling and Consulting Clinical CurrentSince Nov 7, 2023 Accepting new patients

Locations

1001 S Bradford St
Ste 3
Dover, DE 19904
Phone (302) 389-5144

3034 S DuPont Blvd
Smyrna, DE 19977
Phone (302) 653-5082

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 2

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": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1639593700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 THE GRN STE 16821",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013618",
            "telephone_number": "551-265-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 10TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011422",
            "telephone_number": "302-230-9157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 Thornton St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199018824",
            "country_code": "US",
            "telephone_number": "551-265-8842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "1362",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.