Jacqueline Warner Garman, LCSW, PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10745 Issued in FL

Legal business name

JACQUELINE WARNER GARMAN, LCSW, PA

Practice address

11336 Jim CT
Riverview, FL 33569-5965

Phone

(813) 922-8237

NPI assigned

Jan 22, 2016

Organization subpart

No

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

Authorized official

Name

Jacqueline Michelle Warner, LCSW

Title

President

Phone

(813) 922-8237

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Michelle Warner Garman, LCSW

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1659774990
  Medicare reassignment NPD

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1356708259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S ALBANY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061710",
            "telephone_number": "813-922-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11336 JIM CT",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695965",
            "telephone_number": "813-922-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE WARNER GARMAN, LCSW, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-922-8237",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IA051Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J17 Premier Transport
• Jennifer Rennee Jacks
• Kellie Nichelle Jackson
• Madison Jackson, CCC-SLP
• Idamir Calderon Jacobs, CRNA
• Christa Jallorina, LCSW-C
• Ajahlique James
• Davi James, BEHAVIOR TECHNICIAN
• Dawn James, CRNA
• Eric R James, M.D.

• Clinical Social Worker in Riverview, FL
• Providers in Riverview, 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 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.