Active NPI
Halima Jaffer
- Clinical Social Worker
- Lake Mary, FL
National Provider Identifier
1447618624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW16980
- Practice address
- 255 Primera Blvd
Ste 160
Lake Mary, FL 32746 - Phone
- (407) 706-5846
- NPI assigned
- Feb 3, 2016
- Last updated
- May 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | SW16980 | FL | Primary |
Addresses
Primary practice location
255 Primera Blvd
Ste 160
Lake Mary, FL 32746
Mailing address
314 Lake Rd
Lake Mary, FL 32746-3939
Phone (407) 497-3999
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW16980 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Outcomes LLC | Clinical | Current | Accepting new patients |
| Meridian Associates Counseling and Prevention Services, Inc. | Clinical | Past | Accepting new patients |
| Meridian Associates, LLC | Past | Accepting new patients |
Locations
255 Primera Blvd
Ste 160
Lake Mary, FL 32746
Phone (407) 995-6106
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Lake Mary, FL
- NPI 1902598857
-
- Clinical Social Worker
- Orlando, FL
- NPI 1225333859
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orlando, FL
- NPI 1780978445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1447618624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 LAKE RD",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463939",
"telephone_number": "407-497-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 PRIMERA BLVD",
"address_2": "STE 160",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "32746",
"telephone_number": "407-706-5846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFER",
"first_name": "HALIMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-03",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW16980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.