Active NPI
Betsy-Ann Jean-Charles
- Clinical Social Worker
- Orlando, FL
National Provider Identifier
1952728602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5666
- Practice address
- 5749 Westgate Dr
Orlando, FL 32835-5040 - Phone
- (321) 441-1030
- NPI assigned
- Mar 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5666 | FL | Primary |
Addresses
Primary practice location
5749 Westgate Dr
Orlando, FL 32835-5040
Mailing address
5749 Westgate Dr
Orlando, FL 32835-5040
Phone (321) 441-1030
Other names 1
- Betsy-Ann Young-Jack
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5666 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1952728602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5749 WESTGATE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328355040",
"telephone_number": "321-441-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5749 WESTGATE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328355040",
"telephone_number": "321-441-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-CHARLES",
"first_name": "BETSY-ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "5666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETSY-ANN",
"last_name": "YOUNG-JACK",
"credential": "MSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.