Individual provider Active NPI

Jaunisha Williams

  • School Social Worker
  • Tallahassee, FL
National Provider Identifier
1407436769
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Practice address
2940 E Park Ave Ste 2J
Tallahassee, FL 32301-3446
Phone
(850) 256-0206
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X Primary

Addresses

Primary practice location

2940 E Park Ave Ste 2J
Tallahassee, FL 32301-3446

Mailing address

1001 Ocala Rd Apt A107
Tallahassee, FL 32304-1610
Phone (813) 610-3332

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.Sgmentalhealthco.com

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1407436769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 OCALA RD APT A107",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041610",
            "telephone_number": "813-610-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 E PARK AVE STE 2J",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013446",
            "telephone_number": "850-256-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAUNISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.Sgmentalhealthco.com",
            "affiliation": "N",
            "address_1": "2940 E Park Ave Ste 2J",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323013446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.