NPI 1689318321 · live from the CMS NPI Registry
A Safe Place Behavioral Health
Social Worker, Clinical in Jacksonville, FL. National Provider Identifier 1689318321, active.
NPI record
| NPI | 1689318321 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 10151 Deerwood Park Blvd, 200-250, Jacksonville, FL 32256 |
| Practice phone | 904-479-6494 |
| Enumerated | April 27, 2022 |
| Last updated | April 27, 2022 |
| Authorized official | Kimberly Andre, Manager/Clinical Social Worker |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.