Active NPI
Jennifer L Harwood, LCSW,LCAC
- Clinical Social Worker
- Evansville, IN
National Provider Identifier
1992884985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34004890A
- Practice address
- 600 N Weinbach Ave Ste 730
Evansville, IN 47711 - Phone
- (812) 470-3640
- Fax
- (888) 852-3390
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 34004890A | IN | Primary |
Addresses
Primary practice location
600 N Weinbach Ave Ste 730
Evansville, IN 47711
Mailing address
600 N Weinbach Ave Ste 730
Evansville, IN 47711-5977
Phone (812) 470-3640
Other practice location 1
728 N Cross Pointe Blvd
Suite 102
Evansville, IN 47715-9163
Phone (812) 401-1836
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89000999A | Other | IN | LICENSED CLINICAL ADDICTIONS COUNSELOR |
| 34004890A | Other | IN | LICENSED CLINICAL SOCIAL WORKER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34004890A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace of Mind Counseling LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Evansville, IN
- NPI 1265881510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1992884985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N WEINBACH AVE STE 730",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477115977",
"telephone_number": "812-470-3640",
"fax_number": "888-852-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WEINBACH AVE STE 730",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "47711",
"telephone_number": "812-470-3640",
"fax_number": "888-852-3390"
}
],
"practiceLocations": [
{
"address_1": "728 N Cross Pointe Blvd",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477159163",
"country_code": "US",
"telephone_number": "812-401-1836",
"fax_number": "812-401-8013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARWOOD",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "LCSW,LCAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34004890A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL ADDICTIONS COUNSELOR",
"identifier": "89000999A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "34004890A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.