Provider Demographics
NPI:1720307275
Name:NEVERS, JENNIFER J (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:J
Last Name:NEVERS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:J
Other - Last Name:FRYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:5411 STATE ROUTE 261
Mailing Address - Street 2:#1161
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47629
Mailing Address - Country:US
Mailing Address - Phone:812-575-4442
Mailing Address - Fax:812-247-8156
Practice Address - Street 1:5411 STATE ROUTE 261
Practice Address - Street 2:#1161
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47629
Practice Address - Country:US
Practice Address - Phone:812-575-4442
Practice Address - Fax:812-247-8156
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33005753A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical