James Howard
Individual provider Active NPI Social Worker · Westville, FL
NPI 1033417985 · NPPES record last updated Mar 2, 2011
Key facts
- NPI
- 1033417985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 2380 Highway 179a
Westville, FL 32464-3093 - Phone
- (850) 982-1293
- NPI assigned
- Mar 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
2380 Highway 179a
Westville, FL 32464-3093
Mailing address
PO Box 121
Westville, FL 32464-0121
Phone (850) 982-1293
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 690516196 | Medicaid | FL | |
| 690516198 | Medicaid | FL |
Other providers in Westville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.