Katia Jacques

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW21895 Issued in FL

Practice address

1951 NW 7TH Ave FL 3
Miami, FL 33136-1104

Phone

(305) 930-9839

NPI assigned

Sep 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1083221329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 NW 7TH AVE FL 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361104",
            "telephone_number": "407-403-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 NW 7TH AVE FL 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361104",
            "telephone_number": "305-930-9839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2887 Conway Rd Apt 172",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328125992",
            "country_code": "US",
            "telephone_number": "407-403-3155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4028 Lake Underhill Rd",
            "address_2": "APT F",
            "address_purpose": "LOCATION",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32803",
            "country_code": "US",
            "telephone_number": "407-403-3155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "KATIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21895",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Redondo MD PA
• Jacqueline Valdes-Rafuls, M.D., P.a.
• Simone Allison Jacquemin, MS
• Thierry O Jacquemin, DO
• Ernstlyne Jacques
• Jade ABA FL LLC
• Jade Medical Center LLC
• Jade Medical Center, Inc
• Jade Pilates and Physical Therapy, Inc.
• Jade Rehabilitation Center Corp

• Clinical Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.