Individual provider Active NPI

Jennifer Elizabeth Hartwell

  • School Social Worker
  • Harahan, LA
National Provider Identifier
1669870580
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Practice address
822 S Clearview Pkwy
Harahan, LA 70123-3401
Phone
(504) 450-0451
NPI assigned
Dec 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X Primary
Social Worker 104100000X 12016 LA

Addresses

Primary practice location

822 S Clearview Pkwy
Harahan, LA 70123-3401

Mailing address

3704 Cleveland PL
Metairie, LA 70003-1530
Phone (504) 450-0451

Other practice location 1

3704 Cleveland Pl
Metairie, LA 70003-1530
Phone (504) 450-0451

Other identifiers 1

IdentifierTypeStateIssuer
1701033MedicaidLA

Other names 1

  • Mr. Jennifer Elizabeth Jacobs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12016LAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1669870580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 CLEVELAND PL",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700031530",
            "telephone_number": "504-450-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S CLEARVIEW PKWY",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701233401",
            "telephone_number": "504-450-0451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3704 Cleveland Pl",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700031530",
            "country_code": "US",
            "telephone_number": "504-450-0451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTWELL",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "12016",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1701033",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JACOBS",
            "middle_name": "ELIZABETH",
            "prefix": "MR.",
            "credential": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harahan, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.