Jill Yoerger-Churchwell

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11193 Issued in FL

Practice address

2200 N Ponce de Leon Blvd Ste 3
St Augustine, FL 32084-2650

Phone

(904) 377-4200

Fax

(904) 485-8019

NPI assigned

Jun 14, 2013

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• J Churchwell Counseling

  • Clinical Social Worker
  • St Augustine, FL
  • NPI 1922501493
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1629417472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N PONCE DE LEON BLVD STE 3",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842650",
            "telephone_number": "904-377-4200",
            "fax_number": "904-485-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N PONCE DE LEON BLVD STE 3",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842650",
            "telephone_number": "904-377-4200",
            "fax_number": "904-485-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOERGER-CHURCHWELL",
        "first_name": "JILL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HQ259A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122556100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan E Yarian, MD
• Aliya Yasin, MD
• Alexia Yavalar
• Michelle Lee Yawn
• Jack Yee
• Ashley Jordan Yoos, PT, DPT, AIB-VR
• Alyssa Young, RBT
• Joyce Ann Young, MT
• Marie Katherine Young, LPN
• Cathy A Youngstrom

• Clinical Social Worker in St Augustine, FL
• Providers in St Augustine, 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 Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.