Justine Healan Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6172 Issued in FL

Legal business name

JUSTINE HEALAN INC

Practice address

1412 Park Shore Cir Apt 2
Fort Myers, FL 33901-9626

Phone

(239) 910-3290

NPI assigned

Mar 14, 2014

Organization subpart

No

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

Authorized official

Name

Justine Healan, LCSWNPI 1952736753

Title

President

Phone

(239) 910-3290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Justine Healan, LCSW

  • Clinical Social Worker
  • Fort Myers, FL
  • NPI 1952736753
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1376969253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 PARK SHORE CIR APT 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019626",
            "telephone_number": "239-910-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 PARK SHORE CIR APT 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019626",
            "telephone_number": "239-910-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTINE HEALAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "HEALAN",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-910-3290",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward James Jurkovic, D.O.
• Jaelyn Jurkowski
• Angela Catherine Juskie
• Tashyka Jussome, PMHNP-BC
• Just Like Family Concierge Medical Transport Services, LLC
• K & M Drugs Fort Myers LLC
• K. Ranjit Fernando, M.D., P.a.
• Virginia Kaaber
• Tyler Kabes, M.D.
• Maria Kabushinskaya, PA-C

• Clinical Social Worker in Fort Myers, FL
• Providers in Fort Myers, 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 Mar 14, 2014; 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.