Stephen Bradley Jennings, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8492 Issued in TN

Practice address

816 E Oldham Ave
Knoxville, TN 37917-5567

Phone

(865) 300-0636

NPI assigned

Oct 5, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aac Business Services

  • Mental Health Counselor
  • Knoxville, TN
  • NPI 1295603033
  NPD

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1932451614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 E OLDHAM AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379175567",
            "telephone_number": "865-300-0636",
            "fax_number": "865-525-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 E OLDHAM AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379175567",
            "telephone_number": "865-300-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "STEPHEN",
        "middle_name": "BRADLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-05",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "10820",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q081583",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffory Glenn Jennings, MD
• Jenifer C. Jennings, PHARM.D.
• Meredith Ann Jennings, M.S., CCC-SLP
• Risa A. Jennings
• Sara Ann Jennings, RN
• Jenny Minh Pham LLC Dba Home Helpers 58270
• Eric R Jensen, MD
• Jane L Jensen, MSMH
• Douglas Adam Jentilet, M.D.
• David Jerden, MD

• Clinical Social Worker in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.