Individual provider Active NPI

Jennifer Sarah Waszmer, LCSW

  • Clinical Social Worker
  • Rockledge, FL
National Provider Identifier
1114144474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8258 Issued in FL
Practice address
220 Coral Sands Dr
Rockledge, FL 32955-2720
Phone
(321) 632-5792
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW8258 FL Primary

Addresses

Primary practice location

220 Coral Sands Dr
Rockledge, FL 32955-2720

Mailing address

706 Limerick Dr
Merritt Island, FL 32953-8073
Phone (321) 459-9746

Other identifiers 1

IdentifierTypeStateIssuer
SW8258OtherFLLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW8258FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Center of Brevard Inc Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114144474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 LIMERICK DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538073",
            "telephone_number": "321-459-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CORAL SANDS DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552720",
            "telephone_number": "321-632-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASZMER",
        "first_name": "JENNIFER",
        "middle_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "SW8258",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.