Provider Demographics
NPI:1831686260
Name:GRIER, JENNIFER (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:GRIER
Suffix:
Gender:
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3327 CROWE HILL CIR
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-5933
Mailing Address - Country:US
Mailing Address - Phone:573-587-4663
Mailing Address - Fax:314-648-8814
Practice Address - Street 1:3327 CROWE HILL CIR
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-5933
Practice Address - Country:US
Practice Address - Phone:573-587-4663
Practice Address - Fax:314-648-8814
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-20
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018007959104100000X
AR23141C1041C0700X
MO20200363121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker