Active NPI
Jeanie Anne Lollar, LSW
- Social Worker
- Oxford, MS
National Provider Identifier
1790449130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M8580
- Practice address
- 152 Highway 7 S
Oxford, MS 38655-5392 - Phone
- (662) 234-7521
- Fax
- (662) 236-3071
- NPI assigned
- Oct 22, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | M8580 | MS | Primary |
Addresses
Primary practice location
152 Highway 7 S
Oxford, MS 38655-5392
Mailing address
152 Highway 7 S
Oxford, MS 38655-5392
Phone (662) 234-7521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W8580 | Other | MS | LICENSED SOCIAL WORKER |
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 |
|---|---|---|---|
| M8580 | MS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1790449130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 HIGHWAY 7 S",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555392",
"telephone_number": "662-234-7521",
"fax_number": "662-236-3071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 HIGHWAY 7 S",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555392",
"telephone_number": "662-234-7521",
"fax_number": "662-236-3071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOLLAR",
"first_name": "JEANIE",
"middle_name": "ANNE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-22",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "M8580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED SOCIAL WORKER",
"identifier": "W8580",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.