Active NPI
Jane Hathaway Naylor, MA
- Clinical Social Worker
- Cocoa, FL
National Provider Identifier
1598237083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 203765
- Practice address
- 413 N Indian River Dr
Cocoa, FL 32922-7734 - Phone
- (239) 405-5737
- NPI assigned
- Dec 20, 2018
- Last updated
- Dec 20, 2018
- 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 | 203765 | MA | Primary |
Addresses
Primary practice location
413 N Indian River Dr
Cocoa, FL 32922-7734
Mailing address
413 N Indian River Dr
Cocoa, FL 32922-7734
Phone (239) 405-5737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203765 | Other | MA | LCSW |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203765 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1598237083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 N INDIAN RIVER DR",
"city": "COCOA",
"state": "FL",
"postal_code": "329227734",
"telephone_number": "239-405-5737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 N INDIAN RIVER DR",
"city": "COCOA",
"state": "FL",
"postal_code": "329227734",
"telephone_number": "239-405-5737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYLOR",
"first_name": "JANE",
"middle_name": "HATHAWAY",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-20",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "203765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "203765",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.