Provider Demographics
NPI:1134388309
Name:JENNINGS, MARGARET SWANN NORRIS (MSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:SWANN NORRIS
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7110 OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1868
Mailing Address - Country:US
Mailing Address - Phone:314-884-0004
Mailing Address - Fax:
Practice Address - Street 1:7110 OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63117-1868
Practice Address - Country:US
Practice Address - Phone:314-884-0004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20180304991041C0700X
MI68010960501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical