Jennifer O'Banon, LMSW
Social Worker, Clinical in Wylie, TX. Individual provider (NPI-1).
NPI number1174479232
StatusActive
Last updated in NPPESMar 10, 2026
Details
- NPI
- 1174479232
- Entity type
- Individual (NPI-1)
- Name
- Jennifer O'Banon
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2026
- Certification date
- Mar 9, 2026
- Last updated
- Mar 10, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 118348 | TX | Yes |
Practice location
303 S Highway 78 Ste 103Wylie, TX 75098-3971
Phone 469-342-3468
Mailing address
303 S Highway 78 Ste 103Wylie, TX 75098-3971
Phone 469-342-3468
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