Damita Jovan Jefferson, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

5170 E 65TH St
Suite 107
Indianapolis, IN 46220-4892

Phone

(317) 845-8475

Fax

(317) 845-8476

NPI assigned

Jan 14, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1982935961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 BRANDENBURG BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462399259",
            "telephone_number": "317-658-0043",
            "fax_number": "317-845-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 E 65TH ST",
            "address_2": "SUITE 107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204892",
            "telephone_number": "317-845-8475",
            "fax_number": "317-845-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "DAMITA",
        "middle_name": "JOVAN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Rae Jeffers, LCSW
• Brenda Jefferson Allen
• Quiana R Jefferson-Plant, CAPM
• Chanda Jefferson, NURSE
• Conway Jefferson II
• Harvey Phillip Jefferson II
• Kayana Jefferson
• Kristina Jefferson
• Laura Jefferson, LSW
• Marcia M Jefferson, NP

• Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.