Individual provider Active NPI

Jennifer Stewart Lemke, LCSW

  • Clinical Social Worker
  • Colleyville, TX
National Provider Identifier
1932435674
Registry record updated Nov 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31338 Issued in TX
Practice address
5300 Rustic TRL
Colleyville, TX 76034-3213
Phone
(817) 480-0333
NPI assigned
Nov 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 31338 TX Primary

Addresses

Primary practice location

5300 Rustic TRL
Colleyville, TX 76034-3213

Mailing address

5300 Rustic TRL
Colleyville, TX 76034-3213
Phone (817) 480-0333

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
31338TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Institute LLC Clinical Past Accepting new patients
Sage Institute LLC Clinical Past Accepting new patients

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": "1257033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257033600000",
    "number": "1932435674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 RUSTIC TRL",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343213",
            "telephone_number": "817-480-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 RUSTIC TRL",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343213",
            "telephone_number": "817-480-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMKE",
        "first_name": "JENNIFER",
        "middle_name": "STEWART",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-01",
        "last_updated": "2009-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "31338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2009; 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.