Individual provider Active NPI

Victoria Beatriz Jais, LCSW

  • Clinical Social Worker
  • Clearwater, FL
National Provider Identifier
1730857020
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17841 Issued in FL
Practice address
1724 Lombardy Dr
Clearwater, FL 33755-2322
Phone
(305) 409-6991
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 SW17841 FL Primary

Addresses

Primary practice location

1724 Lombardy Dr
Clearwater, FL 33755-2322

Mailing address

1724 Lombardy Dr
Clearwater, FL 33755-2322

Other names 1

  • Victoria Valladares Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241007000427 FL Practitioner - Clinical Social Worker 6901337625 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quest for Meaning LLC CurrentSince Sep 24, 2024 Accepting new patients

Locations

10450 66th St N
Unit 1
Pinellas Park, FL 33782
Phone (727) 386-8791

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1730857020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 LOMBARDY DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337552322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 LOMBARDY DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337552322",
            "telephone_number": "305-409-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIS",
        "first_name": "VICTORIA",
        "middle_name": "BEATRIZ",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "VALLADARES",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.