Individual provider Active NPI

Jessica Williams

  • Clinical Social Worker
  • Mason, MI
National Provider Identifier
1891313235
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801107472 Issued in MI
Practice address
118 W Oak St Ste 202
Mason, MI 48854-1763
Phone
(720) 409-9732
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801107472 MI Primary

Addresses

Primary practice location

118 W Oak St Ste 202
Mason, MI 48854-1763

Mailing address

118 W Oak St Ste 202
Mason, MI 48854-1763
Phone (720) 409-9732

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessicaw@playfulhealing.net Jennifer K. Ogle, LMSW LLC

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
6801107472MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer K. Ogle, LMSW LLC Clinical PastSince Jul 19, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1891313235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W OAK ST STE 202",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541763",
            "telephone_number": "720-409-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W OAK ST STE 202",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541763",
            "telephone_number": "720-409-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessicaw@playfulhealing.net",
            "affiliation": "Y",
            "affiliationName": "Jennifer K. Ogle, LMSW LLC",
            "address_1": "118 W Oak St Ste 202",
            "city": "Mason",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488541763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mason, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.