Active NPI
Jennifer F. Laporte, L.C.S.W.
- Clinical Social Worker
- St Augustine, FL
National Provider Identifier
1598804239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW9978
- Practice address
- 101 Bay Bridge Dr
St Augustine, FL 32080-6608 - Phone
- (904) 372-3759
- Fax
- (904) 587-1564
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW9978 | FL | Primary |
| Clinical Social Worker | 1041C0700X | Q1-0000783 | DE |
Addresses
Primary practice location
101 Bay Bridge Dr
St Augustine, FL 32080-6608
Mailing address
101 Bay Bridge Dr
St Augustine, FL 32080-6608
Phone (904) 372-3759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000041085 | Medicaid | DE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q1-0000783 | DE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avanti Wellness Center Flllp | Clinical | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- St Augustine, FL
- NPI 1215179056
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1598804239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BAY BRIDGE DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320806608",
"telephone_number": "904-372-3759",
"fax_number": "904-587-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BAY BRIDGE DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320806608",
"telephone_number": "904-372-3759",
"fax_number": "904-587-1564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPORTE",
"first_name": "JENNIFER",
"middle_name": "F.",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW9978",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-0000783",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000041085",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.