Active NPI
Jennifer L Livingstone, LCSW, LCAS, LISW-CP
- Clinical Social Worker
- Arden, NC
National Provider Identifier
1790911519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C007678
- Practice address
- 4 Long Shoals Rd Ste B412
Arden, NC 28704-5544 - Phone
- (828) 338-9324
- NPI assigned
- Jun 8, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11590 | SC | |
| Clinical Social Worker | 1041C0700X | C007678 | NC | Primary |
Addresses
Primary practice location
4 Long Shoals Rd Ste B412
Arden, NC 28704-5544
Mailing address
4 Long Shoals Rd Ste B412
Arden, NC 28704-5544
Phone (828) 338-9324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11590 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1790911519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 LONG SHOALS RD STE B412",
"city": "ARDEN",
"state": "NC",
"postal_code": "287045544",
"telephone_number": "828-338-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 LONG SHOALS RD STE B412",
"city": "ARDEN",
"state": "NC",
"postal_code": "287045544",
"telephone_number": "828-338-9324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTONE",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "LCSW, LCAS, LISW-CP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-08",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "11590",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C007678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.