Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Katelyn Mary Jakovenko

Individual provider Social Worker · NPI 1780393413

Miss. Katelyn Mary Jakovenko is a Clinical Social Worker in Smyrna, Tennessee. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2022
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Practice location Address checks out

301 Wolverine Trl Ste 200
Smyrna, TN 37167-5656
Phone: (615) 751-0579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 13570 (TN)

Record details

NPI number1780393413
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 21, 2022
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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