NPIMap

Organization Active NPI

Jessica Anne Deeb, LCSW, LLC

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1619228228
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 8591 Issued in FL
Legal business name
JESSICA ANNE DEEB, LCSW, LLC
Practice address
1006 W Platt St
Tampa, FL 33606-2116
Phone
(727) 808-4818
Fax
(727) 375-8631
NPI assigned
Sep 21, 2012
Last updated
Apr 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Ms. Jessica Anne Deeb, LCSWNPI 1114240777
Title
Owner
Phone
(727) 808-4818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW 8591 FL Primary

Addresses

Primary practice location

1006 W Platt St
Tampa, FL 33606-2116

Mailing address

9400 River Crossing Blvd
Suite 101
New Port Richey, FL 34655-6033
Phone (727) 808-4818

National Provider Directory

National Provider Directory
Tax ID family
Jessica Anne Deeb LCSW LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1006 W Platt St
Tampa, FL 33606
Phone (727) 808-4818

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1619228228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 RIVER CROSSING BLVD",
            "address_2": "SUITE 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346556033",
            "telephone_number": "727-808-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 W PLATT ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062116",
            "telephone_number": "727-808-4818",
            "fax_number": "727-375-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA ANNE DEEB, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "DEEB",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-808-4818",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 8591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.