Active NPI
Jacqueline Herrera, MSW
- Clinical Social Worker
- Orlando, FL
National Provider Identifier
1013669563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 5850 T G Lee Blvd Ste 400
Orlando, FL 32822-4409 - Phone
- (800) 338-3738
- NPI assigned
- Jan 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| School Social Worker | 1041S0200X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5850 T G Lee Blvd Ste 400
Orlando, FL 32822-4409
Mailing address
7040 Carna CT
Orlando, FL 32807-6194
Phone (407) 683-0255
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jherrer6@devereux.org | Devereux Advanced Behavioral Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1013669563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7040 CARNA CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328076194",
"telephone_number": "407-683-0255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 T G LEE BLVD STE 400",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328224409",
"telephone_number": "800-338-3738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "JACQUELINE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-25",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jherrer6@devereux.org",
"affiliation": "Y",
"affiliationName": "Devereux Advanced Behavioral Health",
"address_1": "500 N Delsea Dr",
"city": "Cape May Court House",
"state": "NJ",
"country_code": "US",
"postal_code": "082101323",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.