Individual provider Active NPI

Jennifer J Nevers, MSW, LCSW

  • Clinical Social Worker
  • Newburgh, IN
National Provider Identifier
1720307275
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33005753A Issued in IN
Practice address
5411 State Route 261
#1161
Newburgh, IN 47629
Phone
(812) 575-4442
Fax
(812) 247-8156
NPI assigned
May 24, 2010
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 33005753A IN Primary

Addresses

Primary practice location

5411 State Route 261
#1161
Newburgh, IN 47629

Mailing address

5411 State Route 261
#1161
Newburgh, IN 47629
Phone (812) 575-4442

Other names 1

  • Miss Jennifer J Frye 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
33005753AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Hills Counseling Center, Inc. Clinical Past Accepting new patients

Organizations & group practices 1

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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1720307275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 STATE ROUTE 261",
            "address_2": "#1161",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "47629",
            "telephone_number": "812-575-4442",
            "fax_number": "812-247-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 STATE ROUTE 261",
            "address_2": "#1161",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "47629",
            "telephone_number": "812-575-4442",
            "fax_number": "812-247-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVERS",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MSW,  LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "33005753A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FRYE",
            "middle_name": "J",
            "prefix": "MISS",
            "credential": "MSW,  LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.