Jennifer Stanford, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8786 Issued in TN

Practice address

216 Laurel Dr
Adamsville, TN 38310-1924

Phone

(731) 607-8606

NPI assigned

Dec 10, 2018

Last updated

May 15, 2024By 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 2

Addresses

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1982175402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 LAUREL DR",
            "city": "ADAMSVILLE",
            "state": "TN",
            "postal_code": "383101924",
            "telephone_number": "731-607-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 LAUREL DR",
            "city": "ADAMSVILLE",
            "state": "TN",
            "postal_code": "383101924",
            "telephone_number": "731-607-8606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 Maria Ln",
            "address_purpose": "LOCATION",
            "city": "Iuka",
            "state": "MS",
            "postal_code": "388521135",
            "country_code": "US",
            "telephone_number": "662-423-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8786",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macy Jaye Redmon
• Heath Anthony Robertson, D.M.D
• Amie Roland, APN
• Mandy R Russell, MSN, APRN, NP-C
• Michael Harding Smelser, M.D.
• Sarah Catherine Stinnett, OTD, OTR/L
• Katelynn Taylor
• Michelle Tennyson, LCSW
• Elizabeth Ann Thacker, LMT
• Todd's Discount Drugs Inc.

• Clinical Social Worker in Adamsville, TN
• Providers in Adamsville, 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 May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.