Jill Rand Drake, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7467 Issued in FL

Practice address

1505 Orchid Ave
Winter Park, FL 32789-5649

Phone

(407) 644-4692

Fax

(407) 644-4882

NPI assigned

Sep 22, 2011

Last updated

Sep 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lutheran Counseling Services

  • Clinical Social Worker
  • Winter Park, FL
  • NPI 1104263706
  NPD (past)
• Lutheran Counseling Services, Inc.

  • Mental Health Counselor
  • Winter Park, FL
  • NPI 1215965884
  NPD (past)

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1619250958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 ORCHID AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895649",
            "telephone_number": "407-644-4692",
            "fax_number": "407-644-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 ORCHID AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895649",
            "telephone_number": "407-644-4692",
            "fax_number": "407-644-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "JILL",
        "middle_name": "RAND",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Carol L. Bloomquist Mikulka MD PA
• Dr. Drew Byrnes Family and Cosmetic Dentisty
• Dr. Gampolo, LLC (Orlando City Health and Wellness)
• Dr. Kristie Nguyen PLLC
• Dr. V. Ramcharan P.a.
• Shelby Draulis, ARNP
• Rochelle Alyssa Drayton, PA-C
• Tonya Marie Drew, ARNP
• Stuart Dropkin, D.M.D.
• DRS. Lewis and Lewis, P.a.

• Clinical Social Worker in Winter Park, FL
• Providers in Winter Park, 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 Sep 22, 2011; 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.