Jennifer Lynn Phoenix, is a
Social Worker - Clinical based in Muncie, Indiana. Jennifer Lynn Phoenix is licensed to practice in Indiana (license number 34004792A) and her current practice location is
240 N Tillotson Ave, Muncie, Indiana. She can be reached at her office (for appointments etc.) via phone at
(765) 288-1928.
NPI number for Jennifer Lynn Phoenix is 1174692941 and her current mailing address is 240 N Tillotson Ave, Muncie, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174692941.
Healthcare Provider's Profile
Full Name | Jennifer Lynn Phoenix |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 240 N Tillotson Ave, Muncie, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174692941
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 11/25/2015
Medical Identifiers
Medical identifiers for Jennifer Lynn Phoenix such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174692941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 34004792A (Indiana) | Secondary |
101YP2500X | Counselor - Professional | 34004792A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 34004792A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Lynn Phoenix is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Lynn Phoenix, 240 N Tillotson Ave, Muncie, IN 47304-3988 Ph: (765) 288-1928 | Jennifer Lynn Phoenix, 240 N Tillotson Ave, Muncie, IN 47304-3988 Ph: (765) 288-1928 |
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