Organization Active NPI

Social Care Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, FL
National Provider Identifier
1013309657
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOCIAL CARE SERVICES, LLC
Practice address
8833 Perimeter Park Blvd Ste 201
Jacksonville, FL 32216
Phone
(904) 294-5329
Fax
(904) 485-8460
NPI assigned
Feb 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hydee WarrenNPI 1942532403
Title
Coo
Phone
(904) 294-5329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Case Management Agency 251B00000X 012289300 FL
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

8833 Perimeter Park Blvd Ste 201
Jacksonville, FL 32216

Mailing address

8833 Perimeter Park Blvd Ste 201
Jacksonville, FL 32216-1111
Phone (904) 294-5329

Other practice location 1

4237 Salisbury Rd
207
Jacksonville, FL 32216
Phone (904) 294-5329

Other practice location 2

8833 Perimeter Park Blvd Ste 201
Jacksonville, FL 32216
Phone (904) 294-5329

Other practice location 3

330 Oak Harbor Blvd
Suite B #1010
Slidell, LA 70458
Phone (904) 294-5329 ext. 102

Other practice location 4

600 Boulevard South SW Suite 104
#1073
Huntsville, AL 35802
Phone (904) 294-5329 ext. 102

Other practice location 5

9615 E County Line Rd Ste B-525
Centennial, CO 80112-3527
Phone (904) 294-5329

Other identifiers 4

IdentifierTypeStateIssuer
012289301MedicaidFL
012289300MedicaidFL
102214401MedicaidFL
102214400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, AL, LA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20200827000226 FL Part B Supplier - Clinic/Group Practice 3577850106 Receives reassigned benefits from 3 practitioners
Practice locations: Jacksonville, FL; Orange Park, FL
O20250207001426 GA Part B Supplier - Clinic/Group Practice 3577850106 Receives reassigned benefits from 2 practitioners
Practice locations: Savannah, GA
O20250630002552 AL Part B Supplier - Clinic/Group Practice 3577850106 Receives reassigned benefits from 1 practitioner
Practice locations: Huntsville, AL
O20250703003713 LA Part B Supplier - Clinic/Group Practice 3577850106 Receives reassigned benefits from 1 practitioner
Practice locations: Slidell, LA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Social Care Services LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

8833 Perimeter Park Blvd
Ste 201
Jacksonville, FL 32216
Phone (904) 294-5329

550 Balmoral Cir N
Ste 201
Jacksonville, FL 32218
Phone (904) 294-5329

4237 Salisbury Rd
Ste 207
Jacksonville, FL 32216
Phone (904) 294-5329

550 Balmoral Cir N
Ste 204
Jacksonville, FL 32218

1915 E Victory Dr
Ste 1081
Savannah, GA 31404
Phone (904) 294-5329

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1013309657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161111",
            "telephone_number": "904-294-5329",
            "fax_number": "904-485-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-294-5329",
            "fax_number": "904-485-8460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4237 Salisbury Rd",
            "address_2": "207",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32216",
            "country_code": "US",
            "telephone_number": "904-294-5329",
            "fax_number": "904-485-8460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8833 Perimeter Park Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32216",
            "country_code": "US",
            "telephone_number": "904-294-5329",
            "fax_number": "904-485-8460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Oak Harbor Blvd",
            "address_2": "Suite B #1010",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "70458",
            "country_code": "US",
            "telephone_number": "904-294-5329 x102",
            "fax_number": "904-485-8460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Boulevard South SW Suite 104",
            "address_2": "#1073",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "35802",
            "country_code": "US",
            "telephone_number": "904-294-5329 x102",
            "fax_number": "904-485-8460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9615 E County Line Rd Ste B-525",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801123527",
            "country_code": "US",
            "telephone_number": "904-294-5329",
            "fax_number": "904-485-8460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOCIAL CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "HYDEE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "904-294-5329"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "012289300",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012289301",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012289300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102214401",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102214400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.