Active NPI
Jennifer Lee McCoy, SWC
- Clinical Social Worker
- Alamosa, CO
National Provider Identifier
1801635925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0000001889
- Practice address
- 2261 Enterprise Dr
Alamosa, CO 81101-3603 - Phone
- (719) 589-5409
- NPI assigned
- May 20, 2024
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0000001889 | CO | Primary |
Addresses
Primary practice location
2261 Enterprise Dr
Alamosa, CO 81101-3603
Mailing address
6730 Redwing LN
Alamosa, CO 81101-9536
Other names 1
- Jennifer Lee Hanna
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 |
|---|---|---|---|
| 0000001889 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736553600000",
"number": "1801635925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6730 REDWING LN",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811019536",
"fax_number": "719-588-6539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2261 ENTERPRISE DR",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811013603",
"telephone_number": "719-589-5409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "JENNIFER",
"middle_name": "LEE",
"credential": "SWC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-20",
"last_updated": "2025-01-11",
"certification_date": "2025-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "0000001889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HANNA",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.