Individual provider Active NPI

Sierra Jade Scarlett

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1285518142
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33391 Issued in MD
Practice address
5375 Ortega Farms Blvd Unit 207
Jacksonville, FL 32210-7476
Phone
(561) 618-6353
NPI assigned
Aug 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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 33391 MD Primary

Addresses

Primary practice location

5375 Ortega Farms Blvd Unit 207
Jacksonville, FL 32210-7476

Mailing address

5375 Ortega Farms Blvd Unit 207
Jacksonville, FL 32210-7476
Phone (561) 618-6353

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
33391MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1285518142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 ORTEGA FARMS BLVD UNIT 207",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107476",
            "telephone_number": "561-618-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 ORTEGA FARMS BLVD UNIT 207",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107476",
            "telephone_number": "561-618-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARLETT",
        "first_name": "SIERRA",
        "middle_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "33391",
            "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 4, 2025; 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.