Individual provider Active NPI

Jane A Sievers, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1386621191
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1041C0700X Issued in FL
Practice address
9951 Atlantic Blvd Ste 452
Jacksonville, FL 32225-6582
Phone
(904) 727-7778
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1041C0700X FL Primary

Addresses

Primary practice location

9951 Atlantic Blvd Ste 452
Jacksonville, FL 32225-6582

Mailing address

9951 Atlantic Blvd Ste 452
Jacksonville, FL 32225-6582
Phone (904) 727-7778

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080328000578 FL Practitioner - Clinical Social Worker 0840376976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9951 Atlantic Blvd
Suite 452
Jacksonville, FL 32225-6582
Phone (904) 510-6503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1041C0700XFLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sievers Psychotherapy Services, Inc. Clinical CurrentSince May 27, 2020 Accepting new patients

Locations

9951 Atlantic Blvd
Ste 452
Jacksonville, FL 32225
Phone (904) 727-7778

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1386621191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD STE 452",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256582",
            "telephone_number": "904-727-7778",
            "fax_number": "904-727-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD STE 452",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256582",
            "telephone_number": "904-727-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEVERS",
        "first_name": "JANE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "1041C0700X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.