Individual provider Active NPI

Courtney April Ade, MSW, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1174978324
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22040 Issued in FL
Practice address
10245 Centurion Pkwy N Ste 250
Jacksonville, FL 32256-0561
Phone
(904) 674-3521
NPI assigned
Apr 25, 2016
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW22040 FL Primary

Addresses

Primary practice location

10245 Centurion Pkwy N Ste 250
Jacksonville, FL 32256-0561

Mailing address

10245 Centurion Pkwy N Ste 250
Jacksonville, FL 32256-0561
Phone (904) 674-3521

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231127001900 FL Practitioner - Clinical Social Worker 4486002730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owimast Health LLCGroup PAC ID 6901278076, 4 clinicians

Practice addresses (Care Compare)

10245 Centurion Pkwy N
Suite 250
Jacksonville, FL 32256-2808
Phone (904) 674-3521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW22040FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Owimast Health LLC Clinical CurrentSince Nov 2, 2023 Accepting new patients

Locations

10245 Centurion Pkwy N
Ste 250
Jacksonville, FL 32256
Phone (904) 277-0027

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1174978324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10245 CENTURION PKWY N STE 250",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560561",
            "telephone_number": "904-674-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 CENTURION PKWY N STE 250",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560561",
            "telephone_number": "904-674-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADE",
        "first_name": "COURTNEY",
        "middle_name": "APRIL",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.