Jillian Kate Wade, SW17885

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17885 Issued in FL

Practice address

442 W Kennedy Blvd Ste 280
Tampa, FL 33606-1464

Phone

(813) 467-6111

NPI assigned

Mar 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

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)

Medicare enrollment (NPD)

Enrolled

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  Medicare reassignment Care Compare group NPD
• Sr Medical Associates LLC

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1154913523
  NPD
• Mobile Optix PLLC

  • Optometrist
  • Tampa, FL
  • NPI 1346809480
  NPD (past)

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1346835394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 W KENNEDY BLVD STE 280",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061464",
            "telephone_number": "813-467-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 W KENNEDY BLVD STE 280",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061464",
            "telephone_number": "813-467-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JILLIAN",
        "middle_name": "KATE",
        "credential": "SW17885",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2023-01-09",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wari Lawrence Wabara, MD
• Michael Martin Wach, MD
• Megan Wadas, PA-C
• Lauren Christina Waddell, MSN, FNP-BC, FNP-C
• Rebecca Louise Waddell, BCBA
• Nikita Wade
• Wallace C Wade, D.C.
• Nina Rene Wadhwa, DNP, APRN, NP-C
• Hormuz Parvez Wadia, M.D.
• Jeffery Trad Wadsworth, MD, FACS

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.

Verify at the official NPI Registry.