Active NPI
Jennifer Dierker, LCSW
- Clinical Social Worker
- Hickory, NC
National Provider Identifier
1992849152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C005555
- Practice address
- 1985 Tate Blvd SE
Suite 300
Hickory, NC 28602-1433 - Phone
- (828) 326-5960
- Fax
- (828) 328-4729
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C005555 | NC | Primary |
Addresses
Primary practice location
1985 Tate Blvd SE
Suite 300
Hickory, NC 28602-1433
Mailing address
1985 Tate Blvd SE
Suite 300
Hickory, NC 28602-1433
Phone (828) 326-5960
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
| License | State | Type | Specialty |
|---|---|---|---|
| C005555 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992849152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1985 TATE BLVD SE",
"address_2": "SUITE 300",
"city": "HICKORY",
"state": "NC",
"postal_code": "286021433",
"telephone_number": "828-326-5960",
"fax_number": "828-328-4729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 TATE BLVD SE",
"address_2": "SUITE 300",
"city": "HICKORY",
"state": "NC",
"postal_code": "286021433",
"telephone_number": "828-326-5960",
"fax_number": "828-328-4729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIERKER",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.