Active NPI
Jennifer Anne Cortez, LMSW
- Case Manager/Care Coordinator
- Covington, GA
National Provider Identifier
1831525146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- MSW005345
- Practice address
- 8201 Hazelbrand Rd NE
Covington, GA 30014-1510 - Phone
- (678) 209-2394
- NPI assigned
- Sep 18, 2013
- Last updated
- Sep 18, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | MSW005345 | GA | Primary |
Addresses
Primary practice location
8201 Hazelbrand Rd NE
Covington, GA 30014-1510
Mailing address
4190 Navajo TRL NE
Atlanta, GA 30319-1549
Phone (404) 642-8454
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 |
|---|---|---|---|
| MSW005345 | GA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1831525146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4190 NAVAJO TRL NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303191549",
"telephone_number": "404-642-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 HAZELBRAND RD NE",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300141510",
"telephone_number": "678-209-2394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTEZ",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "GA",
"license": "MSW005345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, GA
- Constance Jones LLC
- Jane F Conyers, RPH
- Christina Noel Cook, PTA
- Jesse Lee Cooper, LCSW
- Rebecca J Cooper, LPC
- Roderica E. Cottrell, MD
- Covington Associates in Family Practice, LLC
- Covington Center for Family Dentistry
- Covington Dental Care (East Metro Beautiful Smiles)
- Covington Dental Care (East Metro Beautiful Smiles)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.