Active NPI
Nekeeya K Brewster
- Clinical Social Worker
- Jacksonville, FL
National Provider Identifier
1265310627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW25310
- Practice address
- 10614 Lem Turner Rd
Jacksonville, FL 32218-4562 - Phone
- (904) 768-8576
- NPI assigned
- Aug 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW25310 | FL | Primary |
Addresses
Primary practice location
10614 Lem Turner Rd
Jacksonville, FL 32218-4562
Mailing address
570 Wild Rose LN
Jacksonville, FL 32218-0931
Phone (662) 552-3029
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (214) 272-2774
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW25310 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activate CR, PLLC | Current | Accepting new patients |
Locations
6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1265310627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 WILD ROSE LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322180931",
"telephone_number": "662-552-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10614 LEM TURNER RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322184562",
"telephone_number": "904-768-8576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWSTER",
"first_name": "NEKEEYA",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-25",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW25310",
"primary": true
}
],
"identifiers": [],
"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 Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.