MR. GREGORY VERNON JENSEN (NPI# 1700096724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700096724 |
| Entity Type | Individual |
| Full Name | MR. GREGORY VERNON JENSEN |
| Credential | LCSW |
| Practice Address |
205 E University Ave Suite 200 Georgetown TX 78626-6814 |
| Mailing Address |
205 E University Ave Suite 300 Georgetown TX 78626-6814 |
| Practice Telephone | 8778005722 |
| Practice Fax Number | 5122571763 |
| Mailing Telephone | 8778005722 |
| Mailing Fax Number | 5122571763 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
53941 | TX | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 215422101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861788697 | Gregory Jensen | Pharmacist | 7779 Jordan Landing Blvd, T-2150, West Jordan, UT 84084-1975 | 2011-06-20 |
| 1558894220 | Gregory Jensen | Emergency Medicine | 830 S Gloster St, Tupelo, MS 38801-4996 | 2017-04-09 |
| 1497903751 | Gregory Anthony Jensen | Dentist | 1009 E Sumner St, Hartford, WI 53027-1607 | 2008-08-28 |
| 1053481648 | Gregory Jensen | Nurse Anesthetist, Certified Registered | 3643 N Roxboro St, Durham, NC 27704-2702 | 2006-11-09 |
| 1912094640 | Gregory Keith Jensen | Anesthesiology | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2006-10-06 |
| 1154370427 | Gregory A Jensen | Specialist/Technologist | 141 Moby Arena, Colorado State University, Fort Collins, CO 80523-1887 | 2006-05-06 |
| Street Address |
205 E UNIVERSITY AVE SUITE 200 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-6814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962490870 | Kathleen Victoria Butler | Pediatrics | 205 E University Ave, Suite 200, Georgetown, TX 78626-6821 | 2005-10-13 |
| 1013340520 | Modesta Obiageli Onyia | Nurse Practitioner | 205 E University Ave, Suite 157, Georgetown, TX 78626-6814 | 2013-08-20 |
| 1245501170 | Christine Lynn Ellis | Nurse Practitioner | 205 E University Ave, Suite 157, Georgetown, TX 78626-6814 | 2012-01-24 |
| 1699053249 | Holly Martin | Nurse Practitioner | 205 E University Ave, Suite 157, Georgetown, TX 78626-6814 | 2011-08-01 |
| 1114237179 | Ashley Nicole Walters- Snider | Nurse Practitioner | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2010-10-08 |
| 1225262710 | Betty L Clark | Psychologist | 205 E University Ave, Suite 155, Georgetown, TX 78626-6814 | 2009-05-12 |
| 1336388560 | Brian Bezorgmehr Mozaffari | Psychiatry & Neurology | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2009-02-11 |
| 1568626430 | Jaclyn Richards | Pediatrics | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2008-07-10 |
| 1174782049 | Tin Wai Judy Koo | Psychiatry & Neurology | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2008-06-05 |
| 1952582587 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2007-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344489 | Haley Faye Price | Social Worker | 114 Brandywine Dr, Georgetown, KY 40324-1441 | 2020-07-24 |
| 1174166235 | Melissa L Gould LLC | Social Worker | 205 E University Ave Ste 151, Georgetown, TX 78626-6817 | 2019-10-22 |
| 1790326494 | Amy Renee Marino | Social Worker | 113 Whispering Wind Dr, Georgetown, TX 78633-4504 | 2019-10-03 |
| 1982162954 | Cassandra Kimberly Hesse | Social Worker | 101 W Cooperative Way Unit 238, Georgetown, TX 78626-8208 | 2019-03-07 |
| 1134604952 | Pamela J Corkum | Social Worker | 148 Jewett St, Georgetown, MA 01833-1814 | 2018-09-27 |
| 1346723178 | Deaton & Deaton Counseling | Social Worker | 215 Montgomery Ave, Georgetown, KY 40324-1247 | 2018-09-07 |
| 1013494731 | Elizabeth Anne Carroll | Social Worker | Penn Brook School 68 Elm St, Georgetown, MA 01833 | 2018-07-25 |
| 1811483944 | Katy Elizabeth Bruce | Social Worker | 1006 S Rock St # 102, Georgetown, TX 78626-5837 | 2018-07-01 |
| 1851847610 | Leticia Howell | Social Worker | 411 South Bedford Street, Georgetown, DE 19947 | 2016-08-31 |
| 1235585837 | Stomptherapy LLC | Social Worker | 201 Duck Creek Ln, Georgetown, TX 78633-4114 | 2016-05-12 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
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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.