Jessica Ruth Yost Bledsoe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

8570 Cypress Lake Dr
Fort Myers, FL 33919-5117

Phone

(863) 225-2684

NPI assigned

Mar 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jessica Bledsoe Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Bradenton, FL
  • NPI 1477274769
  NPD Authorized official
• Wecareministries, Inc.

  • Community/Behavioral Health Agency
  • Fort Myers, FL
  • NPI 1679196786
  NPD Authorized official
• Direct Access Counseling & Supportive Services, LLC

  dba Direct Access Counseling and Supportive Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arcadia, FL
  • NPI 1679011449

  Clinical

  NPD (past)
• Ultima Rehab-FL LLC

  • Geriatric Physical Therapist
  • North Fort Myers, FL
  • NPI 1053970194
  NPD (past)

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1518460419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 KELLY PALM DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339085907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8570 CYPRESS LAKE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195117",
            "telephone_number": "863-225-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "JESSICA",
        "middle_name": "RUTH YOST",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6887016",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Marie Blascoe, CPNP
• Alissa Blasini, PHARMD
• Wilfredo Blasini, M.D.
• Francesca Blazekovic, MD
• BLC Fort Myers-GC, LLC (Brookdale College Parkway)
• Patricia Blender, CRNA
• Blessed Family Home Care Services LLC
• Barry F Blitz, MD
• Peter H. Blitzer, MD
• Barbara A. Blocker, LCSW

• Clinical Social Worker in Fort Myers, FL
• Providers in Fort Myers, 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 9, 2020; 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.