Individual ProviderJennifer R. HaleSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1500 W. Columbia St., Farmington, MO 63640(573) 760-1365(573) 778-4293PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer R. Hale does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:13 AM.Profile DetailsProvider ID1841680295Provider TypeIndividualFull NameHale, Jennifer R.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date1/23/2015Last Updated9/17/2021Contact InformationPractice LocationPractice Address1500 W. Columbia St., Farmington, MO 63640Phone(573) 760-1365FaxUnlisted FaxMailing LocationMailing Address1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318Phone(573) 778-4293FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense2014011619Missouri