Marie Vernal, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3100 University Blvd S Ste 218
Jacksonville, FL 32216-2727

Phone

(904) 834-9843

Fax

(904) 834-9843

NPI assigned

Mar 20, 2020

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

Electronic endpoints 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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1700412822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 UNIVERSITY BLVD S STE 218",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162727",
            "telephone_number": "904-834-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 UNIVERSITY BLVD S STE 218",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162727",
            "telephone_number": "904-834-9843",
            "fax_number": "904-834-9843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6051 Arlington Expressway Suite 169",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32211",
            "country_code": "US",
            "telephone_number": "904-834-9843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5776 Saint Augustine Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078046",
            "country_code": "US",
            "telephone_number": "904-448-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERNAL",
        "first_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "m_joseph@live.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6051 Arlington Expressway Suite 169",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "m_joseph@live.com",
            "affiliation": "N",
            "address_1": "6051 Arlington Expressway Suite 169",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nandini Variar Verma, MD
• Neal Raj Verma, M.D.
• Rakesh Verma, MD
• Jessica Vermillion
• Claire Michele Verna, MD
• Wesley Vernal, APRN
• Vernell King Enterprise LLC
• Vernell King Entrprise LLC
• Ashley Vernon
• Grace Emily Vernon, MA CF-SLP

• Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.