Christy Orellana

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ISW12605 Issued in FL

Practice address

5011 Gate Parkway BLDG 100 Suite 100
Jacksonville, FL 32256

Phone

(305) 783-3991

Fax

(305) 230-7616

NPI assigned

May 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Magna'S Haven, Inc.

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1154823466
  NPD

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1275155368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 GATE PARKWAY BLDG 100 SUITE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "305-783-3991",
            "fax_number": "305-230-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 GATE PARKWAY BLDG 100 SUITE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "305-783-3991",
            "fax_number": "305-230-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORELLANA",
        "first_name": "CHRISTY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW12605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "ISW12605",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabitha Ann Oravetz, DNP
• Orchid Soul Wellness and Counseling Services, LLC
• Brian Christopher Orcullo, APRN
• Donne Ordile, MPT
• Joshua E Ordu, DO
• Jay Spencer Orellana, CRNA
• Oretga Adult Living, LLC
• Kellie Marie Organ, PHYSICIAN ASSISTANT
• Robert James Orgill, CRNA
• Origin Diagnostics

• Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.