Active NPI
Jesse J Flores, CASE MANAGER
- Social Worker
- Immokalee, FL
National Provider Identifier
1124282116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 419 N 1St St
Immokalee, FL 34142-3150 - Phone
- (239) 252-7331
- Fax
- (239) 252-7301
- NPI assigned
- Jul 18, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Public Health or Welfare Agency
- Bronson, FL
- NPI 1154395390
-
- Public Health or Welfare Agency
- Naples, FL
- NPI 1558334367
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Past | Accepting new patients | |
| Florida Department of Health | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
419 N 1St St
Immokalee, FL 34142-3150
Mailing address
419 N 1St St
Immokalee, FL 34142-3150
Phone (239) 252-7331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2008.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1124282116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 N 1ST ST",
"city": "IMMOKALEE",
"state": "FL",
"postal_code": "341423150",
"telephone_number": "239-252-7331",
"fax_number": "239-252-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 N 1ST ST",
"city": "IMMOKALEE",
"state": "FL",
"postal_code": "341423150",
"telephone_number": "239-252-7331",
"fax_number": "239-252-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "JESSE",
"middle_name": "J",
"credential": "CASE MANAGER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-18",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Immokalee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.