Commonwealth Mediation Services, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5892 Issued in FL

Legal business name

COMMONWEALTH MEDIATION SERVICES, INC.

Practice address

1361 13TH Ave S
#215
Jacksonville Beach, FL 32250-3233

Phone

(904) 241-4226

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jerome Croan, L.C.S.W.

Title

Therapist

Phone

(904) 241-4226

Specialties & licenses 1

Addresses

Other names 1

• Croan Counseling & Mediation, Inc. Doing business as

Tax ID family

Commonwealth Mediation Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Commonwealth Mediation Services, Inc.

  • Mental Health Counselor
  • Jacksonville Beach, FL
  • NPI 1912049305
  NPD tax ID

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982747564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S",
            "address_2": "#215",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503233",
            "telephone_number": "904-241-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S",
            "address_2": "#215",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503233",
            "telephone_number": "904-241-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH MEDIATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROAN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "904-241-4226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Croan Counseling & Mediation, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Collins
• Coltman and Baughman Physical Therapy PA
• Robert Alan Coltman, MPT
• Meghan Carroll Coman, OTR/L
• Commonwealth Mediation Services, Inc.
• Concierge Physio LLC
• Nicolas Charles Condrey, PA-C
• Dana Conilogue, DPT
• Christina Anderson Conner, MD
• Cathleen Teresa Connolly, PH.D.

• Clinical Social Worker in Jacksonville Beach, FL
• Providers in Jacksonville Beach, 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 Aug 22, 2020; 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.