J & D Integrated Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12171 Issued in FL

Legal business name

J & D INTEGRATED HEALTH

Practice address

7640 Blue Spring Drive
Land O' Lakes, FL 34837

Phone

(215) 205-1219

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

Mr. James Radcliffe Harris Jr., LCSW

Title

Co-Owner

Phone

(215) 205-1219

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1356821771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 BLUE SPRING DRIVE",
            "city": "LAND O' LAKES",
            "state": "FL",
            "postal_code": "34837",
            "telephone_number": "215-205-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 BLUE SPRING DRIVE",
            "city": "LAND O' LAKES",
            "state": "FL",
            "postal_code": "34837",
            "telephone_number": "215-205-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & D INTEGRATED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RADCLIFFE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "215-205-1219",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Iglesias, MS, ED.S, BCBA
• Evelin Igus
• Fran Imbert, PT, DPT, ATC/L
• Jami Inhofer
• Institute for Integrated Behavioral Health, LLC
• Francesca D Jackson
• Melissa Odette Vega Jackson, OTR/L
• Mikaela Jackson
• Shannon Rhiann Jackson, M.S CCC, SLP
• Jacob Pedraza DMD PA

• Clinical Social Worker in Land O' Lakes, FL
• Providers in Land O' Lakes, 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 Aug 15, 2018; 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.