Individual provider Active NPI

Jenna Carpenter, LISW

  • Clinical Social Worker
  • Athens, OH
National Provider Identifier
1699136770
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1901597 Issued in OH
Practice address
224 Columbus Rd
Athens, OH 45701-1334
Phone
(740) 592-6724
NPI assigned
Mar 16, 2016
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1901597 OH Primary

Addresses

Primary practice location

224 Columbus Rd
Athens, OH 45701-1334

Mailing address

224 Columbus Rd
Athens, OH 45701-1334
Phone (740) 592-6724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210128000469 OH Practitioner - Clinical Social Worker 3173937489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Recovery Services IncGroup PAC ID 5890729412, 7 clinicians

Practice addresses (Care Compare)

224 Columbus Rd
Suite 101
Athens, OH 45701-1350
Phone (740) 592-6724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1901597OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Recovery Services, Inc CurrentSince Jan 21, 2021 Accepting new patients
Health Recovery Services, Inc CurrentSince Jan 21, 2021 Accepting new patients

Locations

10050 Bassett Rd
Athens, OH 45701
Phone (740) 594-8108

224 Columbus Rd
Athens, OH 45701
Phone (740) 592-6720

224 Columbus Rd
Ste 101
Athens, OH 45701
Phone (740) 592-6724

45 Olive St
Gallipolis, OH 45631
Phone (740) 446-7010

12896 Grey St
Logan, OH 43138
Phone (740) 380-6354

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": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1699136770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 COLUMBUS RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011334",
            "telephone_number": "740-592-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 COLUMBUS RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011334",
            "telephone_number": "740-592-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "JENNA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.