Individual provider Active NPI

Jean C Austin-Danner, MSW, LCSW

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1699005298
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5444 Issued in FL
Practice address
1803 Park Center Dr
Suite 111
Orlando, FL 32835-6216
Phone
(407) 399-6311
Fax
(407) 730-4636
NPI assigned
Jan 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW5444 FL Primary

Addresses

Primary practice location

1803 Park Center Dr
Suite 111
Orlando, FL 32835-6216

Mailing address

7991 Canyon Lake Cir
Orlando, FL 32835-5383
Phone (407) 399-6311

Other identifiers 2

IdentifierTypeStateIssuer
1720309115OtherFLNPPES---NPI NUMBER FOR LLC
26-1162956OtherFLIRS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1699005298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7991 CANYON LAKE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355383",
            "telephone_number": "407-399-6311",
            "fax_number": "407-730-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 PARK CENTER DR",
            "address_2": "SUITE 111",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356216",
            "telephone_number": "407-399-6311",
            "fax_number": "407-730-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN-DANNER",
        "first_name": "JEAN",
        "middle_name": "C",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-04",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES---NPI NUMBER FOR LLC",
            "identifier": "1720309115",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "26-1162956",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.