Active NPI
Jennifer Renee Coxon, LMSW
- Clinical Social Worker
- Jackson, MI
National Provider Identifier
1730897489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801087557
- Practice address
- 1515 Greenwood Ave
Jackson, MI 49203-4047 - Phone
- (517) 768-9200
- Fax
- (517) 768-9200
- NPI assigned
- Nov 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801087557 | MI | Primary |
Addresses
Primary practice location
1515 Greenwood Ave
Jackson, MI 49203-4047
Mailing address
1515 Greenwood Ave
Jackson, MI 49203-4047
Phone (517) 768-9200
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | jenicoxon81277@gmail.com | ||
| Other URL | jeni@pcsjxn.com |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801087557 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1730897489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 GREENWOOD AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492034047",
"telephone_number": "517-768-9200",
"fax_number": "517-768-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 GREENWOOD AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492034047",
"telephone_number": "517-768-9200",
"fax_number": "517-768-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COXON",
"first_name": "JENNIFER",
"middle_name": "RENEE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-11",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801087557",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "jenicoxon81277@gmail.com",
"affiliation": "N",
"endpointDescription": "other email",
"address_1": "1515 Greenwood Ave",
"city": "Jackson",
"state": "MI",
"country_code": "US",
"postal_code": "492034047",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "jeni@pcsjxn.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "1515 Greenwood Ave",
"city": "Jackson",
"state": "MI",
"country_code": "US",
"postal_code": "492034047",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.