Individual provider Active NPI

Jennifer E McFarland, LCSW

  • Clinical Social Worker
  • Humboldt, TN
National Provider Identifier
1912114281
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0000004186 Issued in TN
Practice address
131 Esquire Estes Rd
Humboldt, TN 38343-6069
Phone
(731) 414-3450
NPI assigned
May 17, 2007
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0000004186 TN Primary
Clinical Social Worker 1041C0700X CW017693 PA

Addresses

Primary practice location

131 Esquire Estes Rd
Humboldt, TN 38343-6069

Mailing address

131 Esquire Estes Rd
Humboldt, TN 38343-6069
Phone (731) 414-3450

Other practice location 1

15001 S 1st St
Milan, TN 38358-5132
Phone (731) 613-2535

Other practice location 2

400 US Highway 45 W
Humboldt, TN 38343-8503
Phone (731) 784-7773

Other practice location 3

176C W University Pkwy # C
Jackson, TN 38305-1616
Phone (731) 660-6915

Other identifiers 5

IdentifierTypeStateIssuer
3925176MedicaidTN
1522920MedicaidTN
4044650OtherTNBCBS
297156000OtherTNTN CARE MIS #
421271OtherPATRICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071121000334 TN Practitioner - Clinical Social Worker 2365530508 Reassigns benefits to 2 organizations
Practice locations: Humboldt, TN; Jackson, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Health and WellnessGroup PAC ID 7012365901, 2 clinicians

Practice addresses (Care Compare)

455 E Parkview St
Dyersburg, TN 38024-3111
Phone (731) 478-6064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000004186TNMDClinical Social Worker
4186TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Health and Wellness Clinical CurrentSince Sep 5, 2023 Accepting new patients
Professional Imaging of Tennessee Past Accepting new patients
Aristorenas Health Clinic Past Accepting new patients

Locations

1505 Woodlawn Ave
Ste A
Dyersburg, TN 38024
Phone (731) 414-3450

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Phoenix Health and WellnessDyersburg, TN, CCN 888939 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
W-2 Managing Employee
Sep 5, 2023
Sep 5, 2023
Sep 5, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1912114281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ESQUIRE ESTES RD",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383436069",
            "telephone_number": "731-414-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ESQUIRE ESTES RD",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383436069",
            "telephone_number": "731-414-3450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15001 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "TN",
            "postal_code": "383585132",
            "country_code": "US",
            "telephone_number": "731-613-2535",
            "fax_number": "731-613-2534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 US Highway 45 W",
            "address_purpose": "LOCATION",
            "city": "Humboldt",
            "state": "TN",
            "postal_code": "383438503",
            "country_code": "US",
            "telephone_number": "731-784-7773",
            "fax_number": "731-784-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176C W University Pkwy # C",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383051616",
            "country_code": "US",
            "telephone_number": "731-660-6915",
            "fax_number": "731-668-4557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCFARLAND",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "0000004186",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017693",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3925176",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522920",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4044650",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN CARE MIS #",
            "identifier": "297156000",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PIN",
            "identifier": "421271",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, TN

Sources for this page

Verify at the official NPI Registry.