Jacqueline C Ekstrom LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JACQUELINE C EKSTROM LCSW LLC

Practice address

1103 9TH Ave W
Bradenton, FL 34205-7717

Phone

(941) 218-0061

NPI assigned

Mar 13, 2019

Last updated

Mar 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline C Ekstrom, LCSWNPI 1285136788

Title

Owner

Phone

(941) 218-0061

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Cristina Ekstrom, LCSW

  • Clinical Social Worker
  • Bradenton, FL
  • NPI 1285136788
  Authorized official Same address or phone

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1528527231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 5TH AVE NE",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 9TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342057717",
            "telephone_number": "941-218-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE C EKSTROM LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "EKSTROM",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-218-0061",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Jackson
• James Paul Jaco, M.ED.
• Jacob Joseph M.D., P.a. (Manatee Orthopaedic and Sports Medicine Clinic)
• Aarcha Mary Jacob, APRN FNP
• Kimberly Lynn Jacobsen, MA LMHC
• Jason Alexandre Jaffe
• Jay Jaffe
• Erol Jahja, D.O.
• Nikhil Henry Jain, GRADUATING DO
• Nikita Jain, MD

• Clinical Social Worker in Bradenton, FL
• Providers in Bradenton, 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 Mar 13, 2019; 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.