Active NPI
Jennifer P Packer, MSW, LICSW
- Clinical Social Worker
- Bessemer, AL
National Provider Identifier
1902207533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1820 3Rd Ave N
Bessemer, AL 35020 - Phone
- (205) 586-5644
- NPI assigned
- Sep 15, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1820 3Rd Ave N
Bessemer, AL 35020
Mailing address
7628 Georgia Ave
Leeds, AL 35094-7216
Phone (205) 586-5644
Other practice location 1
7628 Georgia Ave
Leeds, AL 35094-7216
Phone (205) 586-5644
Other practice location 2
3007 Caroline St
Houston, TX 77004-2822
Phone (713) 528-2328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
Locations
3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900
Interoperability endpoints
- jenniferpacker@tdh.allscriptsdirect.net
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1902207533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7628 GEORGIA AVE",
"city": "LEEDS",
"state": "AL",
"postal_code": "350947216",
"telephone_number": "205-586-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 3RD AVE N",
"city": "BESSEMER",
"state": "AL",
"postal_code": "35020",
"telephone_number": "205-586-5644"
}
],
"practiceLocations": [
{
"address_1": "7628 Georgia Ave",
"address_purpose": "LOCATION",
"city": "Leeds",
"state": "AL",
"postal_code": "350947216",
"country_code": "US",
"telephone_number": "205-586-5644",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3007 Caroline St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770042822",
"country_code": "US",
"telephone_number": "713-528-2328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PACKER",
"first_name": "JENNIFER",
"middle_name": "P",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-15",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bessemer, AL
- Olivia Orfanello, DDS
- Orthopaedic Specialists of Alabama, PC
- Orthosports Associates, LLC (OrthoSports Associates, LLC - Bessemer)
- Caroline Overstreet
- Thomas Anthony Pace, MD
- Erin Elyse Pardue, RN
- Tammy Davis Parks, M.S., LPC
- Lonnie Terrell Parsons, P.A.
- Anna Lauren Partee
- Johnny Clarence Pate Jr., DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.