Jennie L Spicer, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

M10757 Issued in MS

Practice address

304 Enterprise Dr Ste C
Oxford, MS 38655-2762

Phone

(662) 536-6210

NPI assigned

Jan 25, 2024

Last updated

Jan 25, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Hec Medical

  • Psychiatric/Mental Health Nurse Practitioner
  • Southaven, MS
  • NPI 1922818467
  NPD (past)

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1700648763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 ENTERPRISE DR STE C",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552762",
            "telephone_number": "210-382-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 ENTERPRISE DR STE C",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552762",
            "telephone_number": "662-536-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICER",
        "first_name": "JENNIE",
        "middle_name": "L",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M10757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specialty Orthopedic Group of Ms PLLC (SOGM Oxford)
• Mary Sue Speck
• Kimberly Eve Spence, CPSS
• Leigh Winter Spencer, NP
• William A Spencer, M.D.
• Martha W. Spragins, MSW
• Jamie Stacy
• Karon Louise Stanford, M.S.
• Andrea Carol Staten, M.S. CCC-SLP
• Emily Fletcher Steele, PCMHT

• Social Worker in Oxford, MS
• Providers in Oxford, MS by specialty
• Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.