Active NPI
Jennifer Maria Padron, MSWC
- School Social Worker
- Valdosta, GA
National Provider Identifier
1902576085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 1503 E Park Ave Apt Y7
Valdosta, GA 31602-5320 - Phone
- (706) 391-3864
- NPI assigned
- Sep 20, 2021
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | GA | Primary |
Addresses
Primary practice location
1503 E Park Ave Apt Y7
Valdosta, GA 31602-5320
Mailing address
1503 E Park Ave Apt Y7
Valdosta, GA 31602-5320
Phone (706) 391-3864
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1902576085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 E PARK AVE APT Y7",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316025320",
"telephone_number": "706-391-3864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 E PARK AVE APT Y7",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316025320",
"telephone_number": "706-391-3864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADRON",
"first_name": "JENNIFER",
"middle_name": "MARIA",
"credential": "MSWC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.