JENNIFER R SHAFFER (NPI# 1629630553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629630553 |
| Entity Type | Individual |
| Full Name | JENNIFER R SHAFFER |
| Other Name | JENNIFER R FLETT |
| Credential | MSW, LMSW |
| Practice Address |
1300 E Bradford Pkwy Springfield MO 65804-4264 |
| Practice Telephone | 4177615000 |
| Practice Fax Number | 4177615011 |
| Mailing Telephone | 4177615000 |
| Mailing Fax Number | 4177615011 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2016002398 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 490074417 | 05 | |
| CAQH | 14494829 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063764 | Jennifer Shaffer | Technician | 3523 Jackson Farm Rd, Hopewell, VA 23860-4004 | 2019-10-04 |
| 1124679675 | Jennifer Lynn Shaffer | Technician | 2635 E Carson St Apt 241, Pittsburgh, PA 15203-5120 | 2019-09-26 |
| 1710097944 | Jennifer Anne Shaffer | Social Worker | 2955 Ridgelake Dr, Ste 204, Metairie, LA 70002-4962 | 2006-08-30 |
| 1790283711 | Jennifer Shaffer | Behavior Technician | 187 E Wilbur Rd Ste 6, Thousand Oaks, CA 91360-7928 | 2018-01-24 |
| 1881009454 | Jennifer May Shaffer | Physician Assistant | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2014-06-23 |
| 1609291814 | Jennifer Shaffer | Pharmacist | 5200 Nw 43rd St, Gainesville, FL 32606-4484 | 2014-02-25 |
| 1831358597 | Jennifer Shaffer | Internal Medicine | 11104 Parkview Circle Dr, Suite 410, Fort Wayne, IN 46845-1730 | 2008-06-06 |
| 1407915671 | Jennifer A Shaffer | Registered Nurse | 120 Bellview Ave, Winchester, VA 22601-3142 | 2006-12-06 |
| Street Address |
1300 E BRADFORD PKWY |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-4264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175912 | Pascha J Boyd | Nurse Practitioner | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2005-06-22 |
| 1356942338 | Derek Lee Hennigh | Registered Nurse | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-11-05 |
| 1093316515 | Susan B Nutter | Pharmacist | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-11-02 |
| 1285234336 | Logan L Comegys | Social Worker | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-10-28 |
| 1568060192 | Christine M Reinheimer | Case Manager/Care Coordinator | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-10-15 |
| 1760089288 | Michele Litchy | Counselor | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-10-07 |
| 1770190092 | Rebecca D Mcgarry | Social Worker | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-09-30 |
| 1467066159 | Jamie Audsley | Case Manager/Care Coordinator | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-09-01 |
| 1720692429 | Shamon Williams | Case Manager/Care Coordinator | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-09-01 |
| 1831702448 | Stephanie M Brodwater | Case Manager/Care Coordinator | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| 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 |
|---|---|---|---|---|
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1194337022 | Loretta E. Buckwalter | Social Worker | 4401 Ridgewood Rd W, Springfield, OH 45503-6131 | 2020-08-21 |
| 1710596572 | Nichol Speciale | Social Worker | 3700 Kerry Blvd, Springfield, IL 62712-5858 | 2020-07-28 |
| 1124636162 | Sarah Ann Duffy | Social Worker | 6823 Floyd Ave, Springfield, VA 22150-2455 | 2020-07-15 |
| 1033736707 | Bernetta A Andrewin | Social Worker | 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 | 2020-06-29 |
| 1013530856 | Christina Margaret White | Social Worker | 224 Springcreek Dr, Springfield, IL 62702-3469 | 2020-05-27 |
| 1295357192 | Luminary Counseling and Solutions, LLC | Social Worker | 319 E Madison St Ste 2c, Springfield, IL 62701-3120 | 2020-05-13 |
| 1861014326 | Marvin Merriweather Jr. | Social Worker | 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 | 2020-05-07 |
| 1477182061 | Sean Edward Snyder | Social Worker | 578 Sheffield Dr, Springfield, PA 19064-2822 | 2020-04-06 |
| 1801429246 | David Aichroth Jr. | Social Worker | David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 | 2020-02-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on JENNIFER R SHAFFER.
| 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.