Jennifer N Pearson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW13544 Issued in FL

Practice address

237 Fernwood Blvd
Fern Park, FL 32730-2116

Phone

(407) 875-3700

Fax

(407) 667-1626

NPI assigned

Oct 31, 2011

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2019.

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1811273246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 FERNWOOD BLVD",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302116",
            "telephone_number": "407-875-3700",
            "fax_number": "407-667-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 FERNWOOD BLVD",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302116",
            "telephone_number": "407-875-3700",
            "fax_number": "407-667-1626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Mercy Dr",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328085646",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "fax_number": "407-522-4671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Newman
• Alexander S Nurell, DDS
• Steven Olson
• Cassandra Ann Palmer
• Becky Lynn Parrish, LCSW
• Phillips Salomon & Parrish PA
• Rafael R Pinero
• Olivia Kristin Pitkethly, LMHC
• Shari Pridgen, BCBA
• Progressive Health Care Providers/Fern Park, LLC

• All providers in Fern Park, FL
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.