Jacquelyn Alisha Overstreet

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

100 Centerview Dr Ste 201
Vestavia Hills, AL 35216-3747

Phone

(205) 807-5372

NPI assigned

Aug 31, 2020

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

Practice roles

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.

• Birmingham Anxiety and Trauma Therapy

  • Psychologist
  • Birmingham, AL
  • NPI 1669752754
  NPD (past)

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1679186464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 FREDA DR",
            "city": "PINSON",
            "state": "AL",
            "postal_code": "351263115",
            "telephone_number": "205-427-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTERVIEW DR STE 201",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352163747",
            "telephone_number": "205-807-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERSTREET",
        "first_name": "JACQUELYN",
        "middle_name": "ALISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Journee Ordon
• Ot2Go Innovation to Elevation
• Otm Pediatric Dentistry, LLC
• Outlaw Physio LLC
• Over the Mountain Speech, Language, and Learning Services, LLC
• Victoria Owen, RBT
• Khalagra S Owens, MSN, APRN, PMHNP-BC
• P4 Physical Therapy - Parent Location , LLC
• Ashley Renee Pace
• Andrea Jaquis Paige, MS

• Clinical Social Worker in Vestavia Hills, AL
• Providers in Vestavia Hills, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.