Louise Ann Axelberg

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW4315 Issued in FL

Practice address

3599 University Blvd S
Suite 601
Jacksonville, FL 32216-4252

Phone

(904) 399-0404

Fax

(904) 367-0717

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4603/brand/1/csg/1/fhir/r4
• Direct secure messaging: louise.axelberg.1@4603.direct.athenahealth.com

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.

• Center for a Healthy Mind and Wellbeing LLC

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1710243571
  Medicare reassignment NPD
• Louise Axelberg

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1700978368
  NPD (past) Authorized official

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124074729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47095",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322477095",
            "telephone_number": "904-399-0404",
            "fax_number": "904-367-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "SUITE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-399-0404",
            "fax_number": "904-367-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELBERG",
        "first_name": "LOUISE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Award N Caring LLC
• Theresa L Awatha
• Lisa Awe, M.D.
• Awesome Step Development
• Dolapo Stella Awobusuyi, PHARMD
• Axiom Pain Management LLC
• Axiom Pain Management, LLC
• Salwa S Ayad, M.D.
• Ayadaway Health Services LLC
• Alicia Elisa Ayala Laconich, PH.D IN PSYCHOLOGY

• 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.