JENNIFER LYN WHITEHEAD (NPI# 1720550288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720550288 |
| Entity Type | Individual |
| Full Name | JENNIFER LYN WHITEHEAD |
| Credential | LMSW |
| Practice Address |
202 W Fairview Ave Johnson City TN 37604-5611 |
| Practice Telephone | 4234397371 |
| Mailing Telephone | 4234397371 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LSW0000010776 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316366099 | Jennifer Lynne Whitehead | Pediatrics | 830 W High St Ste 102, Lima, OH 45801-3972 | 2014-04-10 |
| 1730613050 | Jennifer Robyn Whitehead | Marriage & Family Therapist | 405 Nc 65, Reidsville, NC 27320-8882 | 2017-04-13 |
| 1336533983 | Jennifer Whitehead | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2015-03-21 |
| 1134386113 | Jennifer Whitehead | Social Worker | 106 Roxbury St, Keene, NH 03431-3816 | 2008-05-19 |
| 1508040031 | Jennifer Anne Whitehead | Physician Assistant | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2007-12-19 |
| 1295927010 | Jennifer Lee Whitehead | Case Manager/Care Coordinator | 511 Eighth Street, Clarksville, TN 37040 | 2007-08-15 |
| Street Address |
202 W FAIRVIEW AVE |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093990608 | East Tennessee State University | Clinic/Center | 202 W Fairview Ave, Johnson City, TN 37604-5611 | 2008-01-02 |
| 1396363420 | Judith Wangari Gichia-waldrop | Registered Nurse | 202 W Fairview Ave, Johnson City, TN 37604-5611 | 2020-07-06 |
| 1275050627 | Leslie Bodo | Nurse Practitioner | 202 W Fairview Ave, Johnson City, TN 37604-5611 | 2017-08-26 |
| 1699921981 | Janice Lynn Lazear | Nurse Practitioner | 202 W Fairview Ave, Johnson City, TN 37604-5611 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| 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 |
|---|---|---|---|---|
| 1669082855 | Genessa Roberts | Social Worker | 3211 N Roan St, Johnson City, TN 37601-1213 | 2020-08-03 |
| 1265973531 | Abbey C Pelot | Social Worker | 139 Grand Ave, Johnson City, NY 13790-1675 | 2017-03-20 |
| 1215332507 | Alice Sounthala | Social Worker | 31 Avon St, Johnson City, NY 13790-1701 | 2014-10-29 |
| 1497178289 | Robin Marie Ledford | Social Worker | 2408 Susannah Street, Johnson City, TN 37601 | 2014-01-29 |
| 1134565765 | Kimberly Lynn Simerly | Social Worker | 1109 Skyline Dr Apt 4, Johnson City, TN 37604-3777 | 2013-05-22 |
| 1346540689 | Robin Hager Potter | Social Worker | 1507 E 11th Ave, Johnson City, TN 37601-2720 | 2010-11-02 |
| 1013245497 | Kemper Scott Rasnake | Social Worker | 1615 W Market St Ste A, Johnson City, TN 37604-4904 | 2009-11-24 |
| 1972740512 | Julia Shawn Swink | Social Worker | 2208 Marion Dr, Johnson City, TN 37601-9288 | 2009-01-20 |
| 1497957989 | David J Clovsky | Social Worker | 270 Riverside Drive #201, Johnson City, NY 13790-2741 | 2007-06-05 |
| 1689714651 | Kristen Mir | Social Worker | 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601-1754 | 2007-02-07 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.