Active NPI
Damaris De Jesus, MSW
- Social Worker
- Kissimmee, FL
National Provider Identifier
1154728848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9193
- Practice address
- 222 Broadway
Suite 211
Kissimmee, FL 34741-5781 - Phone
- (407) 931-2911
- NPI assigned
- Nov 25, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 9193 | PR | Primary |
Addresses
Primary practice location
222 Broadway
Suite 211
Kissimmee, FL 34741-5781
Mailing address
2861 Clipper Cove LN Apt 201
Kissimmee, FL 34741-1084
Phone (787) 566-0739
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1154728848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2861 CLIPPER COVE LN APT 201",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347411084",
"telephone_number": "787-566-0739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 BROADWAY",
"address_2": "SUITE 211",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415781",
"telephone_number": "407-931-2911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS",
"first_name": "DAMARIS",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "9193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.