Active NPI
Christina Marie Rust Seim, MSW
- Clinical Social Worker
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 555 Stockton St
Jacksonville, FL 32204-2534 - Phone
- (904) 387-4661
- NPI assigned
- Jun 30, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW15754 | FL | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
555 Stockton St
Jacksonville, FL 32204-2534
Mailing address
555 Stockton St
Jacksonville, FL 32204-2534
Phone (904) 387-4661
Other practice location 1
4595 Lexington Ave
Jacksonville, FL 32210-2058
Phone (404) 448-4700 ext. 524
Other names 1
- Christina Marie Rust
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Community Services, Inc. | Current | Accepting new patients | |
| Gateway Community Services, Inc. | Past | Accepting new patients |
Locations
920 Bridier St
Jacksonville, FL 32206
Phone (904) 387-4661
2133 Broadway Ave
Jacksonville, FL 32209
Phone (904) 361-5010
940 Bridier St
Jacksonville, FL 32206
555 Stockton St
Jacksonville, FL 32204
Phone (904) 387-4661
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Jacksonville, FL
- NPI 1356305338
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jacksonville, FL
- NPI 1538820444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1417308487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 STOCKTON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322042534",
"telephone_number": "904-387-4661",
"fax_number": "904-389-8578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 STOCKTON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322042534",
"telephone_number": "904-387-4661"
}
],
"practiceLocations": [
{
"address_1": "4595 Lexington Ave",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322102058",
"country_code": "US",
"telephone_number": "404-448-4700 x524",
"fax_number": "904-783-1901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEIM",
"first_name": "CHRISTINA",
"middle_name": "MARIE RUST",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-30",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "SW15754",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "RUST",
"middle_name": "MARIE",
"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 Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.