Jennifer Ann Didier, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

54608 Issued in TX

Practice address

4705 Hillside Dr
Arlington, TX 76013-4107

Phone

(817) 733-4852

NPI assigned

Feb 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Ann Didier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• The Path Forward Support Services

  • Clinical Social Worker
  • Pantego, TX
  • NPI 1861186488
  NPD

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1902498207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 HILLSIDE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760134107",
            "telephone_number": "817-733-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 HILLSIDE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760134107",
            "telephone_number": "817-733-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDIER",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DIDIER",
            "middle_name": "ANN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karel Adriaan Dicke, MD PHD
• Getonya Taylor Dickerson, AGACNP
• Russell Allison Dickey, M.D.
• Dickson Equere Dickson
• Didi Hudson Kidder LCSW PLLC
• Taylor Brooke Diehl, APRN, FNP
• Lindsey Nicole Dietrich, MD
• Stuart Randall Dietzmann
• Shrinivas Madhukar Diggikar, M.D.
• Cynthia Ann Dill, LPC

• Clinical Social Worker in Arlington, TX
• Providers in Arlington, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.