JENNIFER PUCKETT (NPI# 1134699689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134699689 |
| Entity Type | Individual |
| Full Name | JENNIFER PUCKETT |
| Practice Address |
4835 Poplar Level Rd Ste 110 Louisville KY 40213-2906 |
| Practice Telephone | 5024435273 |
| Practice Fax Number | 5026319660 |
| Mailing Telephone | 5024435273 |
| Mailing Fax Number | 5026319660 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4086 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770758427 | Jennifer Walker Puckett | Music Therapist | 2180 Ridge Rd, Canton, GA 30114-4187 | 2008-04-24 |
| 1821286972 | Jennifer Puckett | Registered Nurse | 5715 Us Highway 22 E, New Holland, OH 43145-9616 | 2007-10-12 |
| 1124313739 | Jennifer Ann Puckett | Pharmacist | 755 Nw Gilman Blvd, T-0996, Issaquah, WA 98027-5357 | 2011-06-10 |
| 1245547405 | Jennifer Stanfield Puckett | Physician Assistant | 811 13th St, Pob 3, Suite 10, Augusta, GA 30901-2700 | 2010-09-09 |
| 1700098266 | Jennifer Suzanne Puckett | Audiologist | 3099 River Rd S, Ste 150, Salem, OR 97302-9754 | 2007-05-04 |
| 1710931548 | Jennifer H Puckett | Nurse Practitioner | 777 Franklin Rd Se, Marietta, GA 30067-7803 | 2006-05-19 |
| Street Address |
4835 POPLAR LEVEL RD STE 110 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40213-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366777351 | Meredith Wood Michel | Nurse Practitioner | 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 | 2009-10-08 |
| 1336764414 | Tessa Johnston | Counselor | 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 | 2020-06-15 |
| 1881228468 | Morgan Elizabeth Gillenwater | Case Manager/Care Coordinator | 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 | 2020-02-23 |
| 1790316990 | Dakota Steven Gallimore | Counselor | 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 | 2020-01-28 |
| 1053958793 | Andrea Lillian Collins Ratliff | Community Health Worker | 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 | 2019-12-02 |
| 1760035554 | Laura Marie Voyda | Case Management | 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 | 2019-07-20 |
| 1285295113 | Timothy Couch | Nurse Practitioner | 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 | 2019-06-21 |
| 1689232712 | Ellen Kaiser | Marriage & Family Therapist | 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 | 2019-06-04 |
| 1942772074 | Shannon T Leach | Counselor | 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 | 2018-12-31 |
| 1922581826 | Jeanessa Payne | Case Manager/Care Coordinator | 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 | 2018-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487130076 | Latonia Cheeks | Counselor | 4835 Poplar Level Rd Ste. 110, Louisville, KY 40213 | 2018-07-17 |
| 1225553431 | Kandace Ratterman | Case Manager/Care Coordinator | 4814 Kingfisher Way, Louisville, KY 40213 | 2017-08-08 |
| 1700338456 | Ann Devos | Physician Assistant | 3303 Fern Valley Road, Louisville, KY 40213 | 2016-10-28 |
| 1124426275 | Rebecca Sue Jenkins | Home Health Aide | 3523 Whippoorwill Rd, Louisville, KY 40213 | 2014-12-05 |
| 1053518308 | Gabor Ambrus | Pathology | 4500 Conaem Drive, Louisville, KY 40213 | 2007-06-29 |
| 1760504724 | Benjamin Francis Robinson | Chiropractor | 4919h Dixie Highway, Louisville, KY 40213 | 2007-04-03 |
| 1790814408 | Howard L Green | Dentist | 3813 Poplar Level Rd, Louisville, KY 40213 | 2007-03-06 |
| 1063587970 | Roy Hyman | Optometrist | 5202 Preston Hwy, Louisville, KY 40213 | 2006-11-24 |
| 1689769291 | James H Kidwell | Psychologist | 1448 Gardiner Lane, Suite 202 203, Louisville, KY 40213 | 2006-10-03 |
| 1366556524 | Harris & Harris Dmd Psc | Dentist | 5014 Preston Hwy, #b, Louisville, KY 40213 | 2006-08-17 |
| Find all providers in zip 40213 | ||||
| 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 |
|---|---|---|---|---|
| 1730797911 | Harvetta K Ray | Social Worker | 1426 S 28th St, Louisville, KY 40211-1729 | 2020-07-14 |
| 1083235360 | Julie Elfers | Social Worker | 700 Front St Ste 208, Louisville, CO 80027-1805 | 2020-04-28 |
| 1699301291 | James Casey Newman | Social Worker | 7121 Black Walnut Cir, Louisville, KY 40229-6402 | 2020-03-16 |
| 1467086744 | Kathryn Fischer | Social Worker | 1009 Rosemary Dr, Louisville, KY 40213-1119 | 2020-02-26 |
| 1497385496 | Katelyn Mensing | Social Worker | 531 W Whitney Ave Apt 1, Louisville, KY 40215-2835 | 2020-01-19 |
| 1386280683 | Jayan Thomas Lcsw LLC | Social Worker | 13113 Eastpoint Park Blvd Ste G, Louisville, KY 40223-4191 | 2019-11-21 |
| 1619511615 | Children's Safe Haven, LLC | Social Worker | 1939 Goldsmith Ln Ste 130, Louisville, KY 40218-3175 | 2019-11-01 |
| 1518500693 | Samantha Catherine Renschler | Social Worker | 4010 Dupont Cir Ste 300, Louisville, KY 40207-4881 | 2019-10-22 |
| 1124660287 | Andrea Bland | Social Worker | 4820 Greenvale Cir, Louisville, KY 40272-3181 | 2019-10-10 |
| 1164063665 | Lisa Spencer | Social Worker | 3906 Wewoka Ave, Louisville, KY 40212-2852 | 2019-10-05 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40213 |
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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.