Jennifer Stanford, LCSW
Social Worker, Clinical in Adamsville, TN. Individual provider (NPI-1).
NPI number1982175402
StatusActive
Last updated in NPPESMay 15, 2024
Details
- NPI
- 1982175402
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Stanford
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2018
- Certification date
- May 15, 2024
- Last updated
- May 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 8786 | TN | Yes |
| 104100000X | Social Worker | – | – |
Practice location
216 Laurel DrAdamsville, TN 38310-1924
Phone 731-607-8606
Mailing address
216 Laurel DrAdamsville, TN 38310-1924
Phone 731-607-8606
Other practice locations
1213 Maria Ln
Iuka, MS 38852-1135
Iuka, MS 38852-1135
Phone 662-423-3332
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