Individual provider Active NPI

Janice Galbreath Sandefur, LCSW

  • Clinical Social Worker
  • Ocala, FL
National Provider Identifier
1235723560
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18036 Issued in FL
Practice address
11100 SW 93Rd Court Rd Ste 10-139
Ocala, FL 34481-5187
Phone
(352) 355-9941
NPI assigned
Feb 26, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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 SW18036 FL Primary

Addresses

Primary practice location

11100 SW 93Rd Court Rd Ste 10-139
Ocala, FL 34481-5187

Mailing address

11100 SW 93Rd Court Rd Ste 10-139
Ocala, FL 34481-5187
Phone (352) 355-9941

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

State licenses

LicenseStateTypeSpecialty
SW18036FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Space Counseling & Consulting LLC Clinical CurrentSince Sep 5, 2021 Accepting new patients

Locations

11100 SW 93rd Court Rd
Ste 10139
Ocala, FL 34481
Phone (352) 355-9941

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": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1235723560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 SW 93RD COURT RD STE 10-139",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344815187",
            "telephone_number": "352-355-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 SW 93RD COURT RD STE 10-139",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344815187",
            "telephone_number": "352-355-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDEFUR",
        "first_name": "JANICE",
        "middle_name": "GALBREATH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.