Individual provider Active NPI

Jennifer E Murphy, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1730114877
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004660A Issued in IN
Practice address
4847 E Virginia St Ste D
Evansville, IN 47715-2611
Phone
(812) 479-1242
Fax
(812) 479-1330
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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 34004660A IN Primary

Addresses

Primary practice location

4847 E Virginia St Ste D
Evansville, IN 47715-2611

Mailing address

4847 E Virginia St Ste D
Evansville, IN 47715-2611
Phone (812) 479-1242

Other identifiers 1

IdentifierTypeStateIssuer
000000371885OtherINANTHEM PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050323000865 IN Practitioner - Clinical Social Worker 7214983279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aha Now Counseling LLCGroup PAC ID 8123309341, 5 clinicians

Practice addresses (Care Compare)

7144 E Virginia St
Suite C
Evansville, IN 47715-9125
Phone (812) 479-1242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34004660AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Cross Pointe Past Accepting new patients
Deaconess Cross Pointe Center, LLC Clinical Past Accepting new patients
Advanced Rehabilitation,Inc. PastSince Dec 1, 2016 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1730114877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4847 E VIRGINIA ST STE D",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152611",
            "telephone_number": "812-479-1242",
            "fax_number": "812-479-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4847 E VIRGINIA ST STE D",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152611",
            "telephone_number": "812-479-1242",
            "fax_number": "812-479-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004660A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000371885",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.