Louise Axelberg

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW4315 Issued in FL

Legal business name

LOUISE AXELBERG

Practice address

3599 University Blvd S
Suite 601
Jacksonville, FL 32216-4252

Phone

(904) 399-0404

Fax

(904) 367-0717

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Louise Ann Axelberg, LCSWNPI 1124074729

Title

Licensed Clinical Social Worker

Phone

(904) 399-0404

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louise Ann Axelberg

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1124074729
  NPD (past) Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700978368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47095",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322477095",
            "telephone_number": "904-399-0404",
            "fax_number": "904-367-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "SUITE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-399-0404",
            "fax_number": "904-367-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISE AXELBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AXELBERG",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "904-399-0404",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis F Gregory and R Glenn Davis
• Andjie Cassandre Louis, APRN
• Kalanda Louis
• Mariam Louis, M.D.
• Trisha Ruth Louis, DO
• Reem Louli, M.D.
• Rajiv Loungani, MD, MPH
• James L Lounsbury, LCSW
• Laura Sharmini Lourdes, M.D.
• Love From Your Home LLC

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, 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 Aug 22, 2020; 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.