Active NPI
A'Laina Newbold, LCSW
- Clinical Social Worker
- Jacksonville, FL
National Provider Identifier
1962047779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW21808
- Practice address
- 1536 N Jefferson St
Jacksonville, FL 32209-6525 - Phone
- (904) 470-6900
- NPI assigned
- Nov 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW12407 | FL | |
| Clinical Social Worker | 1041C0700X | SW21808 | FL | Primary |
Addresses
Primary practice location
1536 N Jefferson St
Jacksonville, FL 32209-6525
Mailing address
1536 N Jefferson St
Jacksonville, FL 32209-6525
Phone (904) 470-6900
Other practice location 1
10611 FL-20
Bristol, FL 32321
Phone (850) 643-1033
Other practice location 2
10611 Florida Highway 20
Bristol, FL 32321
Phone (850) 643-1033
Other practice location 3
1126 Lee Ave
Tallahassee, FL 32303-6508
Phone (850) 643-1033
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 |
|---|---|---|---|
| ISW12407 | FL | MD | Social Worker |
| SW21808 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1962047779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1536 N JEFFERSON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096525",
"telephone_number": "904-470-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1536 N JEFFERSON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096525",
"telephone_number": "904-470-6900"
}
],
"practiceLocations": [
{
"address_1": "10611 FL-20",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "FL",
"postal_code": "32321",
"country_code": "US",
"telephone_number": "850-643-1033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10611 Florida Highway 20",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "FL",
"postal_code": "32321",
"country_code": "US",
"telephone_number": "850-643-1033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1126 Lee Ave",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323036508",
"country_code": "US",
"telephone_number": "850-643-1033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWBOLD",
"first_name": "A'LAINA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-15",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "ISW12407",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW21808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.