Jax Nora One LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JAX NORA ONE LLC

Practice address

8144 Summit Ridge LN
Jacksonville, FL 32256-7149

Phone

(904) 945-9054

NPI assigned

Jul 4, 2024

Organization subpart

No

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

Authorized official

Name

Scott Nelowet

Title

Authorized Offical

Phone

(904) 945-9054

Specialties & licenses 1

Addresses

Other names 1

• Nora Mental Health Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Daly Flechaus, LCSW

  • Clinical Social Worker
  • St Augustine, FL
  • NPI 1609639046
  NPD

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

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720051200000",
    "number": "1104662535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8144 SUMMIT RIDGE LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567149",
            "telephone_number": "904-945-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8144 SUMMIT RIDGE LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567149",
            "telephone_number": "904-945-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAX NORA ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A",
        "authorized_official_last_name": "NELOWET",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "904-945-9054"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nora Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, 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 Jul 4, 2024; 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.