Active NPI
Social Work Ceo, LLC
- Clinical Social Worker
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SOCIAL WORK CEO, LLC
- Practice address
- 5663 Greenland Rd
Jacksonville, FL 32258-3329 - Phone
- (904) 302-9355
- Fax
- (844) 528-1420
- NPI assigned
- Apr 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Natonia S Davis, LCSW, MBA
- Title
- Owner/Provider
- Phone
- (813) 760-5810
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5663 Greenland Rd
Jacksonville, FL 32258-3329
Mailing address
6501 Arlington Expy Ste B105
Jacksonville, FL 32211-0810
Phone (904) 302-9355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003320020A | Medicaid | GA | |
| 121420800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
4290 Bells Ferry Rd NW
Ste 1342280
Kennesaw, GA 30144
Phone (904) 302-9355
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745366400000",
"number": "1235825092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 ARLINGTON EXPY STE B105",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322110810",
"telephone_number": "904-302-9355",
"fax_number": "844-528-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5663 GREENLAND RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322583329",
"telephone_number": "904-302-9355",
"fax_number": "844-528-1420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCIAL WORK CEO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-14",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "NATONIA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "813-760-5810",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW, MBA"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003320020A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121420800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.