Provider Demographics
NPI:1750826244
Name:JENKINS, APRIL YVETTE (LCSWA)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:YVETTE
Last Name:JENKINS
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:APRIL-AUTUMN
Other - Middle Name:YVETTE
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:514 PEMBERWICH PL
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-6548
Mailing Address - Country:US
Mailing Address - Phone:281-802-2345
Mailing Address - Fax:
Practice Address - Street 1:514 PEMBERWICH PL
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-6548
Practice Address - Country:US
Practice Address - Phone:281-802-2345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-20
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102337104100000X
NCP0111411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker