Individual provider · Type 1 NPI

Jennifer Lyn Whitehead, LCSW

Clinical Social Worker · Johnson City, TN

NPI number 1720550288 Active

Practice location

202 W Fairview Ave
Johnson City, TN 37604-5611

Call (423) 439-7371 Map

Mailing address

Corner Of Lamont And Veterans Way
Mountain Home, TN 37684

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLSW0000010776 (TN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1720550288

Jennifer Lyn Whitehead, LCSW's National Provider Identifier is 1720550288, issued on Dec 21, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Johnson City, TN. The record was last updated on Oct 5, 2026.