| Doctor Name: | MS. JENNIFER R PEVERLY |
| NPI Number: | 1043260094 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 34004893A |
| Business Practice Address: | 701 N Englewood Dr Crawfordsville, IN - 479339744 |
| Business Phone Number: | 7653619767 |
| Business Fax Number: | 7653610374 |
| Mailing Address: | 1450 W 800 S, COVINGTON |
| State: | IN |
| Postal Code: | 479328033 |
| Phone Number: | 7653973815 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 02/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 34004893A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |