Individual provider Active NPI

Jennifer L Harwood, LCSW,LCAC

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1992884985
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004890A Issued in IN
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

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
89000999AOtherINLICENSED CLINICAL ADDICTIONS COUNSELOR
34004890AOtherINLICENSED 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

LicenseStateTypeSpecialty
34004890AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.