Jennings, Judith Anne

Jennings, Judith Anne is an individual health care provider with primary practice located at 679 Emory Valley Road Ste B, Oak Ridge TN 37830. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jennings, Judith Anne can be contacted via phone (865) 212-5300.

Contact Information

Primary practice address
679 Emory Valley Road Ste B Oak Ridge TN 37830
Fax: (865) 220-0782
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW0000000448 Tennessee

Profile Details

NPI number 1811041205
LBN Legal business name Jennings, Judith Anne
Credentials MSSW LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811041205 NPPES
Tennessee Other 136213 BCBS
Tennessee Other 103986 BCBS

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