Jennifer Venable-humphrey, LCSW, PIP | |
23 Wisteria Pl, Millbrook, AL 36054-1819 | |
(334) 354-2418 | |
Not Available |
Full Name | Jennifer Venable-humphrey |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 28 Years |
Location | 23 Wisteria Pl, Millbrook, Alabama |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588781322 | NPI | - | NPPES |
51 538686 | Other | AL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 05351464C (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gardenia Cove Mental Health Pc | 0648534537 | 19 |
Entity Name | Gardenia Cove Mental Health Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063912301 PECOS PAC ID: 0648534537 Enrollment ID: O20180430002176 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Venable-humphrey, LCSW, PIP 6719 Taylor Cir, Montgomery, AL 36117-7706 Ph: (334) 954-6010 | Jennifer Venable-humphrey, LCSW, PIP 23 Wisteria Pl, Millbrook, AL 36054-1819 Ph: (334) 354-2418 |
Ms. Kenyal Danya Thomas, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 260 Bishop Dr, Millbrook, AL 36054 Phone: 251-554-0062 | |
Jendia Grisssett, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 556 Mckeithen Pl, Millbrook, AL 36054 Phone: 334-546-3532 | |
Lasonja Rena Ross, LICSW-S, PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 Eagle Rock Bnd, Millbrook, AL 36054 Phone: 334-652-3337 |