MEDICARE: JENNIFER ANNE LOTT LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	50516	TX

General Provider Information

NPI Number	:	1396885091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ANNE LOTT LCSW

Provider Business Mailing Address
First Line	:	118 SUNNYCREST DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-2913
Country	:	US
Telephone Number	:	512-695-8477
Fax Number	:	737-932-6082

Provider Business Practice Location Address
First Line	:	4403 MENCHACA RD STE D
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-1646
Country	:	US
Telephone Number	:	512-695-8477
Fax Number	:	737-932-6082

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	06/17/2026

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