MRS. JESSICA NICOLE TAZELAAR LCSW
NPI 1386029304
Social Worker in Lexington, KY

Q: What is Jessica Tazelaar's NPI number?

The NPI number for Jessica Tazelaar is 1386029304. It was assigned to this individual provider in the NPPES registry on July 21, 2015.

Q: What is Jessica Tazelaar's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Tazelaar was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 July 21, 2015PECOS Enrolled

1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511(859) 253-1686 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Jessica Nicole Tazelaar Lcsw NPPES

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

MRS. JESSICA NICOLE TAZELAAR LCSW (NPI 1386029304) is an individual social worker in Lexington, Kentucky, licensed in Kentucky (259583) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386029304

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. JESSICA NICOLE TAZELAARCredential: LCSW

Location Address1351 NEWTOWN PIKE BLDG 1Lexington, KY 40511-1277

Mailing Address1351 Newtown Pike Bldg 1Lexington, KY 40511-1277 · (859) 253-1686

Phone(859) 253-1686

Sole ProprietorNo

Enumeration DateJuly 21, 2015

Last NPPES UpdateOctober 15, 2024

NPPES CertifiedOctober 15, 2024

✔ NPI 1386029304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in KY · 259583

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1351 NEWTOWN PIKE BLDG 1, Lexington, KY 40511

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Other Identifiers 1

Medicaid1790731081KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica Nicole Tazelaar Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MONICA KLAMPE

Community Health Worker