Individual provider Active NPI

Janae Ponder, MSW, LCSW

  • Clinical Social Worker
  • Deltona, FL
National Provider Identifier
1194127282
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14167 Issued in FL
Practice address
780 Deltona Blvd Ste 102
Deltona, FL 32725-7128
Phone
(386) 400-3100
Fax
(386) 968-3257
NPI assigned
Sep 19, 2014
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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 SW14167 FL Primary

Addresses

Primary practice location

780 Deltona Blvd Ste 102
Deltona, FL 32725-7128

Mailing address

780 Deltona Blvd Ste 102
Deltona, FL 32725-7128
Phone (386) 400-3100

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
I20210113003094 FL Practitioner - Clinical Social Worker 0941613806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

780 Deltona Blvd
Suite 102
Deltona, FL 32725-7128
Phone (386) 400-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life-Spire Counseling Services LLC Clinical CurrentSince Oct 6, 2020 Accepting new patients
On2Feet, L.L.C. PastSince Feb 1, 2023 Accepting new patients

Locations

756 Elkcam Blvd
Ste F
Deltona, FL 32725
Phone (386) 400-3100

780 Deltona Blvd
Ste 102
Deltona, FL 32725
Phone (386) 259-5928

505 Deltona Blvd
Ste 201
Deltona, FL 32725
Phone (407) 476-4084

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.

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1194127282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 DELTONA BLVD STE 102",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257128",
            "telephone_number": "386-400-3100",
            "fax_number": "386-968-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 DELTONA BLVD STE 102",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257128",
            "telephone_number": "386-400-3100",
            "fax_number": "386-968-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONDER",
        "first_name": "JANAE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

Verify at the official NPI Registry.