Judith Anne Jennings, MSSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000000448 Issued in TN

Practice address

679 Emory Valley Road
Ste B
Oak Ridge, TN 37830

Phone

(865) 212-5300

Fax

(865) 220-0782

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811041205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 EMORY VALLEY ROAD",
            "address_2": "STE B",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-212-5300",
            "fax_number": "865-220-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 EMORY VALLEY ROAD",
            "address_2": "STE B",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-212-5300",
            "fax_number": "865-220-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "JUDITH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MSSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000000448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "136213",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTS",
            "identifier": "103986",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaques Nursing Services, LLC
• Daniele Jaques, RN
• David J Jean, D.PH.
• Curtis Jenkins, PHARMD
• Tracy L Jenkins, APN
• John F Jernigan, M.D.
• Pamela Y Jernigan, APRN
• Amanda Ellice Jett
• John Reynolds O&P, LLC
• April Dawn Johnson, PTA

• Clinical Social Worker in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.