Jennifer Kristen Pewinski, LLPC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6401007323 Issued in MI

Practice address

800 Livingston Blvd Ste a
Gaylord, MI 49735-8351

Phone

(989) 732-7558

Fax

(989) 732-8672

NPI assigned

Jun 11, 2007

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• North Country Community Mental Health

  • Community/Behavioral Health Agency
  • Petoskey, MI
  • NPI 1053474015
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730382219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12028 FAIRGRIEVE RD",
            "city": "JOHANNESBURG",
            "state": "MI",
            "postal_code": "497518719",
            "telephone_number": "989-786-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LIVINGSTON BLVD STE A",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358351",
            "telephone_number": "989-732-7558",
            "fax_number": "989-732-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEWINSKI",
        "first_name": "JENNIFER",
        "middle_name": "KRISTEN",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6401007323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Alexandra-Saldana Perry, LPC
• Suzan Petee
• Hannah Leigh Peters
• Mikhayla Rose Peters
• Lisa Christine Petrie, DPT
• Pierce Eye Care LLC
• Pine Trees Medical Office, P.C.
• Prac Holdings, Inc.
• Sydney Kadence Prange
• Sarah Ann Pranger, MS, LLMFT

• Clinical Social Worker in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.