Jennifer Outlaw, LCSW-C, LCSW, LISW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26026 Issued in MD

Practice address

846 Erika LN
Grovetown, GA 30813-8302

Phone

(757) 537-9607

NPI assigned

Feb 26, 2015

Last updated

Oct 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634342400000",
    "number": "1932591039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 ERIKA LN",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308138302",
            "telephone_number": "757-537-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 ERIKA LN",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308138302",
            "telephone_number": "757-537-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTLAW",
        "first_name": "JENNIFER",
        "credential": "LCSW-C, LCSW, LISW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007251",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14065",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Chikodi Ogbuagu, DNP PMHNP-BC
• Nancy Okeyo Ssali
• Vermetria Oliver
• Nicole Kay Olliff
• Ryan Olliff
• Chelsea Nicole Overby, PMHNP
• Ronald Edwin Owens II, DMD
• Kyley Pahe, MS, RD, LD
• Terance Parker
• Tiffany Nicole Parks, M.D.

• Clinical Social Worker in Grovetown, GA
• Providers in Grovetown, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.