JEFFREY LANCE PENN (NPI# 1558997320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558997320 |
| Entity Type | Individual |
| Full Name | JEFFREY LANCE PENN |
| Practice Address |
860 E River Pl Ste 100 Jackson MS 39202-3442 |
| Practice Telephone | 7692515550 |
| Mailing Telephone | 7692515550 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | M7738 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952407348 | Jeffrey M Penn | Optometrist | 17395 State Highway 249, Suite 3i-2, Houston, TX 77064-1179 | 2006-09-15 |
| Street Address |
860 E RIVER PL STE 100 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477827475 | Coronda Weathersby | Counselor | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2012-03-08 |
| 1265033781 | Natile Nicole Thompson | Counselor | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2020-11-02 |
| 1336765536 | Kimberly C Fonville | Counselor | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2020-06-23 |
| 1003440553 | Jessica Elizabeth Beaurain | Social Worker | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2020-02-24 |
| 1497387088 | Roderick Crain | Social Worker | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2020-02-11 |
| 1528606993 | Shena L Branley | Social Worker | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2019-12-17 |
| 1376180521 | Cassandra Ward Peterson | Social Worker | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2019-12-06 |
| 1548807886 | Bret David Patterson | Student in an Organized Health Care Education/Training Program | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2019-12-05 |
| 1912544438 | Moniques Remonda Singleton | Counselor | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2019-12-03 |
| 1770120297 | Nkosazana Cetewayo | Counselor | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989612 | Rhonda Bufkin | Social Worker | 405 Briarwood Dr Ste 302, Jackson, MS 39206-3052 | 2020-10-13 |
| 1023645884 | Cycle of Life Support Community Health Services LLC | Social Worker | 1520 E Ganson St, Jackson, MI 49202-3530 | 2020-03-23 |
| 1669006532 | Alexis Holly | Social Worker | 405 Briarwood Dr # 302, Jackson, MS 39206-3052 | 2020-02-28 |
| 1609418250 | Ashley Frascella | Social Worker | 13 Parkhill St, Jackson, NJ 08527-3737 | 2019-10-16 |
| 1104475268 | Valerie Baker | Social Worker | 172 W University Pkwy Ste A, Jackson, TN 38305-1622 | 2019-09-10 |
| 1548815863 | Lily Kovach | Social Worker | 6552 Smith Rd, Jackson, MI 49201-9612 | 2019-08-04 |
| 1285298513 | Kyla Milan Washington | Social Worker | 950 W Monroe St Ste 600a&b, Jackson, MI 49202-2079 | 2019-04-22 |
| 1639630551 | Pamela Stalter-o'neil | Social Worker | 5572 Viking Dr, Jackson, MI 49201-8815 | 2019-03-26 |
| 1407316284 | Yvonne Vieira Moffett | Social Worker | 950 W Monroe St Ste A&600b, Jackson, MI 49202-2079 | 2019-03-20 |
| 1710458419 | Jasmine Grace Walker | Social Worker | 338 Galvez St, Jackson, MS 39209-3903 | 2018-12-06 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.