Active NPI
Thuy-VI Nguyen De Jesus, MSW
- Clinical Social Worker
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW22534
- Practice address
- 10058 Baymeadows Rd
Jacksonville, FL 32256-7177 - Phone
- (904) 308-3751
- NPI assigned
- Apr 22, 2019
- Last updated
- Sep 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | FL | ||
| Clinical Social Worker | 1041C0700X | SW22534 | FL | Primary |
Addresses
Primary practice location
10058 Baymeadows Rd
Jacksonville, FL 32256-7177
Mailing address
10058 Baymeadows Rd
Jacksonville, FL 32256-7177
Other practice location 1
3027 San Diego Rd
Jacksonville, FL 32207-3691
Phone (904) 493-7775
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10058 Baymeadows Rd
Jacksonville, FL 32256-7177
Phone (904) 636-5400
1760 Edgewood Ave W
Suite Aandb
Jacksonville, FL 32208-7209
Phone (904) 450-6250
1760 W Edgewood Ave
Jacksonville, FL 32208-7209
Phone (904) 358-8480
1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients |
Locations
10058 Baymeadows Rd
Jacksonville, FL 32256
Phone (904) 450-6870
Interoperability endpoints
- thuy.de.jesus.1@8967.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1417987124
-
dba Ascension St Vincent's Medical Group
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1679226690
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St. Vincent's Southside
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1144883463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10058 BAYMEADOWS RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10058 BAYMEADOWS RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567177",
"telephone_number": "904-308-3751"
}
],
"practiceLocations": [
{
"address_1": "3027 San Diego Rd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322073691",
"country_code": "US",
"telephone_number": "904-493-7775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE JESUS",
"first_name": "THUY-VI",
"middle_name": "NGUYEN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-22",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW22534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.