Individual provider Active NPI

Jennifer Lynn McCombs, MSW

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1952918674
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1051-1206C Issued in AL
Practice address
300 Century Park S Ste 201
Birmingham, AL 35226-3924
Phone
(205) 807-5345
NPI assigned
Sep 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 1051-1206C AL Primary

Addresses

Primary practice location

300 Century Park S Ste 201
Birmingham, AL 35226-3924

Mailing address

925 Utica PL
Birmingham, AL 35224-1559
Phone (205) 807-5345

Other names 1

  • Jennifer Lynn Waters Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Birmingham Direct

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

State licenses

LicenseStateTypeSpecialty
1051-1206CALMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1601164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1952918674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 UTICA PL",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352241559",
            "telephone_number": "205-807-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTURY PARK S STE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263924",
            "telephone_number": "205-807-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMBS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-27",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1051-1206C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Birmingham",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Birmingham",
            "address_1": "300 Century Park S Ste 201",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352263924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WATERS",
            "middle_name": "LYNN",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.