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MRS. JENNIFER ROSE VANDEWEG LMSW
NPI 1417201708
Social Worker - School in Hereford, AZ

Active since November 08, 2012PECOS EnrolledAccepts Medicare Assignment
5770 E HOOT OWL HOLW, HEREFORD, AZ 85615(706) 836-8373 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Jul 14, 2022 (2 updates tracked since 2022).

About Mrs. Jennifer Rose Vandeweg Lmsw NPPES

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

MRS. JENNIFER ROSE VANDEWEG LMSW (NPI 1417201708) is an individual school provider in Hereford, Arizona, licensed in Maryland (18450) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elkton, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1417201708
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameMRS. JENNIFER ROSE VANDEWEGCredential: LMSW
Location Address5770 E HOOT OWL HOLWHereford, AZ 85615-9623
Mailing Address5770 E Hoot Owl HolwHereford, AZ 85615-9623 · (706) 836-8373
Phone(706) 836-8373
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 8, 2012
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1417201708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in MD · 18450
5770 E HOOT OWL HOLW, Hereford, AZ 85615
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Secondary Practice Location 1

Location 1200 Booth StElkton, MD 21921-5657 · Phone (410) 996-3400

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jennifer Rose Vandeweg Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224525456
PECOS Enrollment IDI20251013002362
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.

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 Vandeweg's NPI number?

The NPI number for Jennifer Vandeweg is 1417201708. It was assigned to this individual provider in the NPPES registry on November 8, 2012.

Where is Jennifer Vandeweg located?

Jennifer Vandeweg practices at 5770 E Hoot Owl Holw, Hereford, AZ 85615. The listed phone number is (706) 836-8373.

What is Jennifer Vandeweg's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

Is Jennifer Vandeweg enrolled in Medicare?

Yes. Jennifer Vandeweg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennifer Vandeweg was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.