Individual provider Active NPI

Jamia Lynn Dautel, LCSW

  • Social Worker
  • Delray Beach, FL
National Provider Identifier
1114357266
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSWSW18150 Issued in FL
Practice address
100 E Linton Blvd Ste 103B
Delray Beach, FL 33483-3340
Phone
(561) 450-9457
NPI assigned
Nov 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8877 TN
Social Worker 104100000X LCSWSW18150 FL Primary

Addresses

Primary practice location

100 E Linton Blvd Ste 103B
Delray Beach, FL 33483-3340

Mailing address

100 E Linton Blvd Ste 103B
Delray Beach, FL 33483-3340
Phone (561) 450-9457

Other names 1

  • Jamia Lynn Wilson Other name

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
LCSWSW18150FLMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1114357266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LINTON BLVD STE 103B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833340",
            "telephone_number": "561-450-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LINTON BLVD STE 103B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833340",
            "telephone_number": "561-450-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUTEL",
        "first_name": "JAMIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "8877",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "LCSWSW18150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIA",
            "last_name": "WILSON",
            "middle_name": "LYNN",
            "credential": "MAIDEN NAME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.