Jennifer Stanford, LCSW
Individual provider Active NPI Clinical Social Worker · Adamsville, TN
NPI 1982175402 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1982175402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 8786 (TN)
- Practice address
- 216 Laurel Dr
Adamsville, TN 38310-1924 - Phone
- (731) 607-8606
- NPI assigned
- Dec 10, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250528003027 | TN | Practitioner - Clinical Social Worker | 2567981988 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8786 | TN | Yes |
| Social Worker | 104100000X |
Addresses
Primary practice location
216 Laurel Dr
Adamsville, TN 38310-1924
Mailing address
216 Laurel Dr
Adamsville, TN 38310-1924
Phone (731) 607-8606
Other practice location 1
1213 Maria Ln
Iuka, MS 38852-1135
Phone (662) 423-3332
Other providers in Adamsville, TN
- Heath Anthony Robertson
- Amie Roland
- Mandy R Russell
- Michael Harding Smelser
- Kinsee Marie Smith
- Sarah Catherine Stinnett
- Katelynn Taylor
- Michelle Tennyson
- Elizabeth Ann Thacker
- Todd'S Discount Drugs Inc.
All providers in Adamsville, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.