Jennifer Lynn Motz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005718A Issued in IN

Practice address

603 N Wayne St
Angola, IN 46703-1081

Phone

(260) 668-8797

Fax

(260) 665-1620

NPI assigned

Mar 27, 2007

Last updated

Nov 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Sante' Group, Inc.

  • Marriage & Family Therapist
  • Angola, IN
  • NPI 1932127339
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1679691380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "address_2": "603 N. WAYNE STREET",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467030098",
            "telephone_number": "260-668-8797",
            "fax_number": "260-665-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031081",
            "telephone_number": "260-668-8797",
            "fax_number": "260-665-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTZ",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34005718A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005718A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200846380 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Eye Consultants, P.C. (Midwest Eye Consultants - Angola)
• Berry L Miller, MD
• Ryan Michael Miller
• Thomas Lee Miller, M.D.
• Guy J Moore, D.D.S
• Nelson Moy, M.D.
• Brent Michael Murphy, MA
• Katherine Murphy, LMHC
• Tracy Lynn Musser, BA
• Manasa Musunuri, M.D.

• Clinical Social Worker in Angola, IN
• Providers in Angola, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.