Active NPI
Jennifer Cook Duster, LICSW, PIP, LLC
- Clinical Social Worker
- Madison, AL
National Provider Identifier
1760125306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1623-4181C
- Practice address
- 44 Hughes Rd Ste 1050
Madison, AL 35758-3046 - Phone
- (256) 631-7898
- Fax
- (256) 542-3366
- NPI assigned
- Apr 20, 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 | 1623-4181C | AL | Primary |
Addresses
Primary practice location
44 Hughes Rd Ste 1050
Madison, AL 35758-3046
Mailing address
128 Paintrock Road
New Hope, AL 35760
Phone (256) 577-7754
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 |
|---|---|---|---|
| 1623-4181C | AL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer C Duster Licsw Pip LLC | Clinical | Current | Accepting new patients |
Locations
44 Hughes Rd
Ste 1050
Madison, AL 35758
Phone (256) 325-5400
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1760125306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 PAINTROCK ROAD",
"city": "NEW HOPE",
"state": "AL",
"postal_code": "35760",
"telephone_number": "256-577-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 HUGHES RD STE 1050",
"city": "MADISON",
"state": "AL",
"postal_code": "357583046",
"telephone_number": "256-631-7898",
"fax_number": "256-542-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUSTER",
"first_name": "JENNIFER",
"middle_name": "COOK",
"credential": "LICSW, PIP, LLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-20",
"last_updated": "2022-04-20",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "1623-4181C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.