SW Social Support

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SW SOCIAL SUPPORT

Practice address

9000 Sheridan St Ste 115
Pembroke Pines, FL 33024-8802

Phone

(954) 225-9851

NPI assigned

Mar 11, 2020

Last updated

Mar 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

SW SOCIAL SUPPORTAs reported in NPPES

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

Authorized official

Name

Jessica Jefferson, LCSWNPI 1649640087

Title

Ceo

Phone

(954) 225-9851

Specialties & licenses 4

Addresses

Other names 1

• sw social support Other name

Electronic endpoints 1

Part of

SW Social Support

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Jefferson, LCSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
  • NPI 1649640087
  NPD Authorized official
• Jelessa Robinson, LCSW

  • Clinical Social Worker
  • Davie, FL
  • NPI 1699350298
  NPD
• Adejare Abisogun McMillan

  • Mental Health Counselor
  • Hollywood, FL
  • NPI 1437653375
  NPD (past)
• Romilla Petit-Homme, MA

  • Social Worker
  • Tampa, FL
  • NPI 1295076487
  NPD (past)
• Kristin Scanlon, LMFT

  • Marriage & Family Therapist
  • Skokie, IL
  • NPI 1932749371
  NPD (past)

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1790310654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SHERIDAN ST STE 115",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330248802",
            "telephone_number": "954-225-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SHERIDAN ST STE 115",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330248802",
            "telephone_number": "954-225-9851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8380 W State Road 84",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333244546",
            "country_code": "US",
            "telephone_number": "954-225-9851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SW SOCIAL SUPPORT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SW SOCIAL SUPPORT",
        "enumeration_date": "2020-03-11",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-225-9851",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "swsocialsupport.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "9000 Sheridan St Ste 115",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330248802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "sw social support",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "sw social support",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 21, 2022; 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.