Jelessa Robinson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18186 Issued in FL

Practice address

8380 W State Road 84
Davie, FL 33324-4546

Phone

(954) 732-6909

NPI assigned

Mar 15, 2021

Sex

Female

Sole proprietor

No

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

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.

• SW Social Support

  • Clinical Social Worker
  • Pembroke Pines, FL
  • NPI 1790310654
  NPD

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1699350298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LAKE EMERALD DR APT 106",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333096211",
            "telephone_number": "954-732-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 W STATE ROAD 84",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244546",
            "telephone_number": "954-732-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JELESSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrance Andra Roberts
• Tiffany Brooke Roberts
• Mikyla Robertson, RBT
• Robin J. Kauffman, Psy.D., P.a.
• Dana Robins
• Shonnysha Robinson
• Lauren A Robledo
• Margarida Rocha, LMT
• Gabriela Roche
• Luis Gerardo Rodas Jr., PHARM. D.

• Clinical Social Worker in Davie, FL
• Providers in Davie, 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 Mar 15, 2021; 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.