Wellformed AI

NPI 1902635733 · live from the CMS NPI Registry

A Jade LLC

Social Worker, Clinical in Margate, FL. National Provider Identifier 1902635733, active.

NPI record

NPI1902635733 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location2003 Seville St, Margate, FL 33063
Practice phone954-805-5860
EnumeratedJuly 30, 2024
Last updatedJuly 30, 2024
Authorized officialJodi Walsh, Founder/ Manager
Other namesPivot To Purpose

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.