Individual provider Active NPI

Mishele Lee Hart, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1083797724
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5792 Issued in FL
Practice address
7855 Argyle Forest Blvd. #907
Jacksonville, FL 32244-7707
Phone
(904) 287-9195
Fax
(904) 317-9520
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW5792 FL Primary

Addresses

Primary practice location

7855 Argyle Forest Blvd. #907
Jacksonville, FL 32244-7707

Mailing address

7855 Argyle Forest Blvd. #907
Jacksonville, FL 32244-7707
Phone (904) 287-9195

Other names 1

  • Ms. Mishele Lee Hart Lambert Former name

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
I20120501000788 FL Practitioner - Clinical Social Worker 2264694686 Practice locations: Jacksonville, FL; Ponte Vedra Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7855 Argyle Forest Blvd
Jacksonville, FL 32244-7707
Phone (904) 287-9195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW5792FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1083797724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 ARGYLE FOREST BLVD. #907",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447707",
            "telephone_number": "904-287-9195",
            "fax_number": "904-317-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 ARGYLE FOREST BLVD. #907",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447707",
            "telephone_number": "904-287-9195",
            "fax_number": "904-317-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "MISHELE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISHELE",
            "last_name": "HART LAMBERT",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.