Christina Claire Jerome, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW108440 Issued in CA

Practice address

2101 Park Center Dr Ste 270
Orlando, FL 32835-7608

Phone

(407) 523-1212

Fax

(407) 523-2398

NPI assigned

Jan 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1487011839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 EDGEWATER DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920785091",
            "telephone_number": "407-986-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PARK CENTER DR STE 270",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328357608",
            "telephone_number": "407-523-1212",
            "fax_number": "407-523-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "CHRISTINA",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12177",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW108440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jensen, PA-C
• Daeun Jeong, MD
• Craig Elliott Jerelds
• Tiras Alvah Jeremiah
• Ernest Jermin, MD
• Stephanie Jerome, PHD
• Jerry a Rubin MD
• Jerry Home Health, Inc.
• Angela Jerry
• Kenneth Oliver Jerry, ARNP

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, 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 Oct 10, 2022; 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.