Provider Demographics
NPI:1912114281
Name:MCFARLAND, JENNIFER E (LCSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:E
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 ESQUIRE ESTES RD
Mailing Address - Street 2:
Mailing Address - City:HUMBOLDT
Mailing Address - State:TN
Mailing Address - Zip Code:38343-6069
Mailing Address - Country:US
Mailing Address - Phone:731-414-3450
Mailing Address - Fax:
Practice Address - Street 1:131 ESQUIRE ESTES RD
Practice Address - Street 2:
Practice Address - City:HUMBOLDT
Practice Address - State:TN
Practice Address - Zip Code:38343-6069
Practice Address - Country:US
Practice Address - Phone:731-414-3450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000041861041C0700X
PACW0176931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN297156000OtherTN CARE MIS #
TN4044650OtherBCBS
TN3925176Medicaid
PA421271OtherTRICARE PIN
TN1522920Medicaid
TN3925176Medicaid
TN4044650OtherBCBS
PA002883825OtherHIGHMARK GROUP NUMBER
TN3925176Medicaid