MEDICARE: JENNIFER GREENBERG

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	62581	TX

General Provider Information

NPI Number	:	1427648146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER GREENBERG

Provider Business Mailing Address
First Line	:	6275 W PLANO PKWY STE 500
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4942
Country	:	US
Telephone Number	:	469-573-4725
Fax Number	:

Provider Business Practice Location Address
First Line	:	6275 W PLANO PKWY STE 500
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4942
Country	:	US
Telephone Number	:	469-573-4725
Fax Number	:

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

Provider Enumeration Date	:	01/26/2021
Last Update Date	:	01/05/2026

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Directions to “ JENNIFER GREENBERG ” Practice Location

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