Individual provider Active NPI

Jamie Lee Garcia, LMSW

  • Clinical Social Worker
  • Port Saint Lucie, FL
National Provider Identifier
1265995047
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18989 Issued in FL
Practice address
2010 SE Colfax CT
Port Saint Lucie, FL 34952-6914
Phone
(517) 745-8396
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801087227 MI
Clinical Social Worker 1041C0700X 10199-23 WI
Clinical Social Worker 1041C0700X SW18989 FL Primary

Addresses

Primary practice location

2010 SE Colfax CT
Port Saint Lucie, FL 34952-6914

Mailing address

2010 SE Colfax CT
Port Saint Lucie, FL 34952-6914
Phone (517) 745-8396

Other names 1

  • Jamie Lee Dillion Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230501000422 FL Practitioner - Clinical Social Worker 6507221371 Reassigns benefits to 1 organization
I20230724003898 MI Practitioner - Clinical Social Worker 6507221371 Reassigns benefits to 1 organization
I20250206002629 WI Practitioner - Clinical Social Worker 6507221371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

250 Monroe Ave NW
Suite 400
Grand Rapids, MI 49503-2293
Phone (616) 441-4616

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW18989FLMDClinical Social Worker
6801087227MIMDClinical Social Worker
10199-23WIMDClinical Social Worker
10199WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Mar 21, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

4321 W College Ave
Ste 200
Appleton, WI 54914
Phone (920) 519-2920

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1265995047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 SE COLFAX CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349526914",
            "telephone_number": "517-745-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 SE COLFAX CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349526914",
            "telephone_number": "517-745-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JAMIE",
        "middle_name": "LEE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087227",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "10199-23",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "DILLION",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.