Jacquie Jensen, MSW, Lisac

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LISAC-11489 Issued in AZ

Legal business name

JACQUIE JENSEN, MSW, LISAC

Practice address

2319 N 51St PL
Number 2
Phoenix, AZ 85008-2519

Phone

(480) 221-4875

NPI assigned

Jul 25, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Jacquie Beth Jensen, MSW

Title

Therapist

Phone

(480) 221-4875

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacquelyn Beth Jensen, MSW, LISAC

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
  • NPI 1205232352
  NPD (past)

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1851709513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 N 51ST PL",
            "address_2": "NUMBER 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850082519",
            "telephone_number": "480-221-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 N 51ST PL",
            "address_2": "NUMBER 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850082519",
            "telephone_number": "480-221-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUIE JENSEN, MSW, LISAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JACQUIE",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "480-221-4875",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LISAC-11489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Jacobson
• Nikki Christina Jacobus
• Deborah Jacoby, FNP
• David Joseph Jacofsky, M.D.
• Simon Pedro Jacquez, PA
• Jade Health and Wellness LLC
• Caroline Jadlowiec, M.D.
• Jae Chung Family Dental (JC Family Dental)
• Jennifer Lee Jaeckel, LICSW
• Carolyn Jaedecke

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.