Active NPI
Aimee Diane Anderson, LCSW
- Clinical Social Worker
- Jacksonville, FL
National Provider Identifier
1366539157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 8252
- Practice address
- 2 Shircliff Way
Suite 800
Jacksonville, FL 32204-4753 - Phone
- (904) 388-2619
- Fax
- (904) 388-0240
- NPI assigned
- Oct 5, 2006
- Last updated
- Nov 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 8252 | FL | Primary |
Addresses
Primary practice location
2 Shircliff Way
Suite 800
Jacksonville, FL 32204-4753
Mailing address
7015 Ac Skinner Parkway
Suite 1
Jacksonville, FL 32256
Phone (904) 363-2113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z135R | Other | FL | BC BS |
Other names 1
- Ms. Aimee Diane Connors
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 8252 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Community Oncology Network LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Florida Radiation Oncology Group
- Radiation Oncology Physician
- Jacksonville, FL
- NPI 1043230402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1366539157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7015 AC SKINNER PARKWAY",
"address_2": "SUITE 1",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32256",
"telephone_number": "904-363-2113",
"fax_number": "904-538-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SHIRCLIFF WAY",
"address_2": "SUITE 800",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044753",
"telephone_number": "904-388-2619",
"fax_number": "904-388-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "AIMEE",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 8252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "Z135R",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AIMEE",
"last_name": "CONNORS",
"middle_name": "DIANE",
"prefix": "MS.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}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 Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.