Individual provider Active NPI

Jessica Jean Soto, MSW

  • Clinical Social Worker
  • Marathon, FL
National Provider Identifier
1538814827
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW15733 Issued in FL
Practice address
11400 Overseas Hwy Ste 224
Marathon, FL 33050-3600
Phone
(619) 622-3643
NPI assigned
Feb 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW15733 FL Primary

Addresses

Primary practice location

11400 Overseas Hwy Ste 224
Marathon, FL 33050-3600

Mailing address

11400 Overseas Hwy Ste 224
Marathon, FL 33050-3600
Phone (619) 622-3643

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW15733FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Loving Life 365, LLC Clinical CurrentSince May 26, 2024 Accepting new patients

Locations

11400 Overseas Hwy
Ste 224
Marathon, FL 33050
Phone (305) 395-2430

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1538814827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 OVERSEAS HWY STE 224",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503600",
            "telephone_number": "619-622-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 OVERSEAS HWY STE 224",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503600",
            "telephone_number": "619-622-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "JESSICA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW15733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

Verify at the official NPI Registry.