Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEANIE LYN JEFFERSON LCSW
NPI 1255215984
Social Worker - Clinical in Southlake, TX

Q: What is Jeanie Jefferson's NPI number?

The NPI number for Jeanie Jefferson is 1255215984. It was assigned to this individual provider in the NPPES registry on August 5, 2025. The provider is also known as Jeanie Jenicke Lcsw.

Q: What is Jeanie Jefferson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jeanie Jefferson was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 05, 2025

431 E STATE HIGHWAY 114 STE 140, SOUTHLAKE, TX 76092(844) 824-8775(281) 648-2200 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2026, Jul 24, 2026, Aug 5, 2025 (3 updates tracked since 2025).

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About Jeanie Lyn Jefferson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANIE LYN JEFFERSON LCSW (NPI 1255215984) is an individual clinical provider in Southlake, Texas, licensed in Texas (106913) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1255215984

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJEANIE LYN JEFFERSONCredential: LCSW

Location Address431 E STATE HIGHWAY 114 STE 140Southlake, TX 76092-4412

Mailing Address431 E State Highway 114 Ste 140Southlake, TX 76092-4412 · (844) 824-8775

Phone(844) 824-8775

Fax(281) 648-2200

Sole ProprietorNo

Enumeration DateAugust 5, 2025

Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1255215984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TX · 106913

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

431 E STATE HIGHWAY 114 STE 140, Southlake, TX 76092

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Other Names 1

Former Name (1)Jeanie Jenicke Lcsw

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESTINEE NICHOLE GREENWELL LPC, LCDC

Counselor (Mental Health)