Sievers Psychotherapy Services, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SIEVERS PSYCHOTHERAPY SERVICES, INC.

Practice address

9951 Atlantic Blvd Ste 452
Jacksonville, FL 32225-6582

Phone

(904) 727-7778

NPI assigned

May 20, 2020

Organization subpart

No

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

Authorized official

Name

Jane A Sievers, LCSWNPI 1386621191

Title

Owner

Phone

(904) 510-6503

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Jane A Sievers, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1386621191
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1740803063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD STE 452",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD STE 452",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256582",
            "telephone_number": "904-727-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIEVERS PSYCHOTHERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "SIEVERS",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-510-6503",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Bennett Siegfried
• Chloie Juliette Siegner
• Tonya Siekbert
• Leonardo Sierra
• Sandra Patricia Sierra, BA
• Jane A Sievers, LCSW
• Paul Anthony Sievert, MD
• Sayra C. Sievert, M.D.
• Alan Vance Siewertsen, R.D.
• Jessica Clack Sifakis, PHARMD

• 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 May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.