Active NPI
Jaye L Anderson LCSW, LLC
- Clinical Social Worker
- West Palm Beach, FL
National Provider Identifier
1043759178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW11280
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.