Jodie Barko-Abshire, MSW
Individual provider Active NPI Social Worker · Edgewater, FL
NPI 1053044263 · NPPES record last updated Jul 5, 2022
Key facts
- NPI
- 1053044263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- ISW13147 (FL)
- Practice address
- 2102 S Ridgewood Ave Ste 17
Edgewater, FL 32141-4230 - Phone
- (386) 402-8346
- NPI assigned
- Jul 5, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW13147 | FL | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW13147 | FL | Yes |
Addresses
Primary practice location
2102 S Ridgewood Ave Ste 17
Edgewater, FL 32141-4230
Mailing address
2102 S Ridgewood Ave Ste 17
Edgewater, FL 32141-4230
Phone (386) 402-8346
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | SimplePractice | ||
| Other URL | https://mindfulhealingmk.com/ |
Other providers in Edgewater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2022. 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.