Organization Active NPI

Jaye L Anderson LCSW, LLC

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1043759178
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11280 Issued in FL
Legal business name
JAYE L ANDERSON LCSW, LLC
Practice address
2101 Vista Pkwy Ste 254
West Palm Beach, FL 33411
Phone
(561) 308-9818
Fax
(561) 354-6035
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Authorized official

Name
Jaye L Anderson, LCSW
Title
Owner
Phone
(561) 308-9818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW11280 FL Primary

Addresses

Primary practice location

2101 Vista Pkwy Ste 254
West Palm Beach, FL 33411

Mailing address

2101 Vista Pkwy Ste 254
West Palm Beach, FL 33411-2706
Phone (561) 308-9818

Other practice location 1

2101 Vista Pkwy Ste 304
West Palm Beach, FL 33411-2706
Phone (561) 308-9818

Other practice location 2

2101 Vista Pkwy Ste 254
West Palm Beach, FL 33411
Phone (561) 308-9818

National Provider Directory

National Provider Directory

Locations

2101 Vista Pkwy
Ste 304
West Palm Beach, FL 33411
Phone (561) 308-9818

2101 Vista Pkwy
Ste 254
West Palm Beach, FL 33411
Phone (561) 308-9818

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1043759178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 VISTA PKWY STE 254",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112706",
            "telephone_number": "561-308-9818",
            "fax_number": "561-354-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 VISTA PKWY STE 254",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-308-9818",
            "fax_number": "561-354-6035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Vista Pkwy Ste 304",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334112706",
            "country_code": "US",
            "telephone_number": "561-308-9818",
            "fax_number": "561-354-6035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Vista Pkwy Ste 254",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "33411",
            "country_code": "US",
            "telephone_number": "561-308-9818",
            "fax_number": "561-354-6035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAYE L ANDERSON LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JAYE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-308-9818",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.