NPIMap

Individual provider Active NPI

Jennifer Ann Vermeer Gregor, M.S.W., L.I.C.S.W.

  • Clinical Social Worker
  • White Bear Lake, MN
National Provider Identifier
1881760940
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19808 Issued in MN
Practice address
2540 County Road F E
White Bear Lake, MN 55110-3935
Phone
(651) 415-5500
NPI assigned
Nov 28, 2006
Last updated
Apr 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19808 MN Primary
School Social Worker 1041S0200X 19808 MN
Clinical Social Worker 1041C0700X 071275-1 NY

Addresses

Primary practice location

2540 County Road F E
White Bear Lake, MN 55110-3935

Mailing address

2620 Hampshire Ave S
St Louis Park, MN 55426-3356
Phone (646) 505-8846

Other names 1

  • Ms. Jennifer Vermeer Former name

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

LicenseStateTypeSpecialty
071275-1NYMDClinical Social Worker
19808MNMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Crossing Community School Past Accepting new patients
Northeast Metro Intermediate School District 916 Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1881760940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 HAMPSHIRE AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263356",
            "telephone_number": "646-505-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 COUNTY ROAD F E",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103935",
            "telephone_number": "651-415-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGOR",
        "first_name": "JENNIFER",
        "middle_name": "ANN VERMEER",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19808",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MN",
            "license": "19808",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071275-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VERMEER",
            "prefix": "MS.",
            "credential": "MSW, LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.