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MS. JENNIFER NOELLE PETTIJOHN LCSW
NPI 1295017614
Social Worker - Clinical in Pryor, OK

Active since September 12, 2011
109 N FAIRLAND ST., PRYOR, OK 74361(918) 825-1405(918) 825-1406 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2022, Dec 15, 2021, Sep 8, 2021 and 5 more (8 updates tracked since 2018).

About Ms. Jennifer Noelle Pettijohn Lcsw NPPES

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

MS. JENNIFER NOELLE PETTIJOHN LCSW (NPI 1295017614) is an individual clinical provider in Pryor, Oklahoma, licensed in Oklahoma (6246) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1295017614
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JENNIFER NOELLE PETTIJOHNCredential: LCSW
Location Address109 N FAIRLAND ST.Pryor, OK 74361-4203
Mailing Address109 N Fairland St.Pryor, OK 74361-4203 · (918) 825-1405 · Fax (918) 825-1406
Phone(918) 825-1405
Fax(918) 825-1406
Sole ProprietorNo
Enumeration DateSeptember 12, 2011
Last NPPES UpdateFebruary 11, 20228 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2022
✔ NPI 1295017614 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 OK · 6246
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.
109 N FAIRLAND ST., Pryor, OK 74361
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Other Identifiers 1

Medicaid200372200AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, UnitedHealthcare.Insurance ›

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.

MS. TIFFANY JO TOMASO-KELLY LCSW
Social Worker (Clinical)
109 N FAIRLAND ST.
PRYOR, OK 74361
Mayes County (918) 629-3533
SUSAN BROOKE FOREMAN
Peer Specialist
109 N FAIRLAND ST.
PRYOR, OK 74361
Mayes County (918) 825-1405
GRAND LAKE MENTAL HEALTH CENTER, INC.
Non-emergency Medical Transport (VAN)
109 N FAIRLAND ST.
PRYOR, OK 74361
Mayes County (918) 825-1405
MISS ERIKA ENGELMAN
Counselor
109 N FAIRLAND ST.
PRYOR, OK 74361
Mayes County (918) 825-1405
ALANNA MCCASKEY
Counselor (Addiction (Substance Use Disorder))
109 N FAIRLAND ST.
PRYOR, OK 74361
Mayes County (918) 825-1405
COLE DANIEL THOMPSON
Peer Specialist
109 N FAIRLAND ST.
PRYOR, OK 74361
Mayes County (918) 825-1405
KATRINA ANN LEWIS
Peer Specialist
109 N FAIRLAND ST.
PRYOR, OK 74361
Mayes County (918) 825-1405
TERRI E WILLIAMS
Social Worker (Clinical)
109 N FAIRLAND ST.
PRYOR, OK 74361
Mayes County (918) 825-1405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Pettijohn's NPI number?

The NPI number for Jennifer Pettijohn is 1295017614. It was assigned to this individual provider in the NPPES registry on September 12, 2011.

Where is Jennifer Pettijohn located?

Jennifer Pettijohn practices at 109 N Fairland St., Pryor, OK 74361. The listed phone number is (918) 825-1405.

What is Jennifer Pettijohn's specialty?

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

What insurance does Jennifer Pettijohn accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Jennifer Pettijohn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Pettijohn was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.