Ciara Nicole Weeks Jenkins, SW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17372 Issued in FL

Practice address

463142 State Road 200
Yulee, FL 32097-5554

Phone

(904) 225-8520

NPI assigned

Jul 28, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Life on Purpose Counseling and Coaching Services, LLC

  • Adult Mental Health Clinic/Center
  • Yulee, FL
  • NPI 1245034065
  NPD Authorized official

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1154930923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463142 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975554",
            "telephone_number": "904-225-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463142 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975554",
            "telephone_number": "904-225-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CIARA",
        "middle_name": "NICOLE WEEKS",
        "credential": "SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Elizabeth Jackson, MD
• Janet Moulton, Inc.
• Ashley Nicole Jarek, PHARM.D.
• Jeff Podiatry PA
• Hany M Jeffry, DPM
• Sarah Dawn Jenkins
• Brenna Grace Johnsen
• Alexandra Baker Johnson, ARNP
• Danielle Renee Johnson, CNA
• Stephanie L Johnson, O.D.

• Clinical Social Worker in Yulee, FL
• Providers in Yulee, 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 28, 2020; 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.