Individual provider Active NPI

Jennifer Sees, LCSW

  • Clinical Social Worker
  • Port Saint Lucie, FL
National Provider Identifier
1033624002
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14359 Issued in FL
Practice address
160 NW Central Park PLZ Ste 104&105
Port Saint Lucie, FL 34986-1825
Phone
(772) 497-5985
Fax
(844) 440-1724
NPI assigned
Dec 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0012057 DE
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 14359 FL Primary

Addresses

Primary practice location

160 NW Central Park PLZ Ste 104&105
Port Saint Lucie, FL 34986-1825

Mailing address

160 NW Central Park PLZ Ste 104&105
Port Saint Lucie, FL 34986-1825
Phone (772) 497-5985

Other practice location 1

604 23rd St SE
Vero Beach, FL 32962-8313
Phone (772) 486-8691

Other practice location 2

10 SE Central Pkwy Ste 100
Stuart, FL 34994-5914
Phone (772) 303-1101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031001176 FL Practitioner - Clinical Social Worker 4284080060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Medical and Health Services LLCGroup PAC ID 4981097318, 18 clinicians

Practice addresses (Care Compare)

160 NW Central Park PLZ
Suite 104
Port St Lucie, FL 34986-1825
Phone (772) 497-5985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14359FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Medical and Health Services LLC Clinical CurrentSince Oct 25, 2023 Accepting new patients

Locations

160 NW Central Park Plz
Ste 104
Port St Lucie, FL 34986
Phone (772) 497-5985

145 NW Central Park Plz
Ste 200
Port St Lucie, FL 34986
Phone (772) 303-1987

160 NW Central Park Plz
Ste 104105
Port St Lucie, FL 34986
Phone (772) 497-5985

10 SE Central Pkwy
Ste 101
Stuart, FL 34994
Phone (772) 497-5895

10 SE Central Pkwy
Ste 100
Stuart, FL 34994
Phone (772) 303-1101

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1033624002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NW CENTRAL PARK PLZ STE 104&105",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861825",
            "telephone_number": "772-497-5985",
            "fax_number": "844-440-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW CENTRAL PARK PLZ STE 104&105",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861825",
            "telephone_number": "772-497-5985",
            "fax_number": "844-440-1724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 23rd St SE",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329628313",
            "country_code": "US",
            "telephone_number": "772-486-8691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 SE Central Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349945914",
            "country_code": "US",
            "telephone_number": "772-303-1101",
            "fax_number": "772-673-7845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEES",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012057",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "14359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.