Jennifer Lynn Connor, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20671 Issued in MN

Practice address

306 Byron St
Mankato, MN 56001-3846

Phone

(507) 382-6862

NPI assigned

Jun 6, 2012

Last updated

Jun 6, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horizon Homes, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Mankato, MN
  • NPI 1093895997
  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1821359852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 BYRON ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013846",
            "telephone_number": "507-382-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 BYRON ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013846",
            "telephone_number": "507-382-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Collins
• Meghan Bouquet Collins, DPT
• Comfor at Home Care Service LLC (Comfort At Home Care Service LLC)
• Matthew John Conetta, PSY.D., L.P.
• Sabrina Marie Conlin
• James Daniel Connors, DDS
• Jamie Kay Conrath, DNP-PMHNP-BC
• Seth Consoer, M.D.
• Alexander James Continenza, MD
• Ezekiel Robert Conway

• Clinical Social Worker in Mankato, MN
• Providers in Mankato, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.