KAREN JELLERSON (NPI# 1114317534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114317534 |
| Entity Type | Individual |
| Full Name | KAREN JELLERSON |
| Credential | LCSW |
| Practice Address |
804 Sw 2nd Ave Cape Coral FL 33991-2501 |
| Practice Telephone | 2392578729 |
| Mailing Telephone | 2392578729 |
| Enumeration Date | 2015-01-24 |
| Last Update Date | 2020-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW11868 | FL | Behavioral Health & Social Service Providers |
| Street Address |
804 SW 2ND AVE |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33991-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265066583 | Aging Interventions, Inc | Community/Behavioral Health | 804 Sw 2nd Ave, Cape Coral, FL 33991-2501 | 2020-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437785847 | Modern Dental Cape Coral Pllc | Dentist | 706 Sw Pine Island Rd, Suite 103, Cape Coral, FL 33991 | 2020-03-17 |
| 1518593367 | Sand Vision LLC | Technician/Technologist | 706 Sw Pine Island Rd # 102, Cape Coral, FL 33991 | 2020-03-12 |
| 1518509975 | Neliudis Navarro Lores | Nurse Practitioner | 1814 Sw 23rd Ct, Cape Coral, FL 33991 | 2019-10-16 |
| 1487117388 | Johner Therapy Inc | Physical Therapist | 58 Nicholas Pkwy W #105, Cape Coral, FL 33991 | 2019-04-09 |
| 1184176901 | Gerta Avdia | Pharmacist | 611 Old Burnt Store Rd South, Cape Coral, FL 33991 | 2016-10-27 |
| 1285038109 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 301 Sw Pine Island Road, Cape Coral, FL 33991 | 2014-10-21 |
| 1225442676 | Gulf Coast Family Care, Plc | Nurse Practitioner | 814 Sw Pine Island Road, Suite 306, Cape Coral, FL 33991 | 2014-06-13 |
| 1760731848 | Florida Alf, Inc | Clinic/Center | 1318 Santa Barbara Blvd, Cape Coral, FL 33991 | 2012-09-05 |
| 1952574832 | Michael Anthony Fritz | Physical Therapist | 517 S.w. 8th Street, Cape Coral, FL 33991 | 2008-04-10 |
| 1306982350 | Dawn Marie Galbreath | Registered Nurse | 1002 Sw 9th Avenue, Cape Coral, FL 33991 | 2007-01-29 |
| Find all providers in zip 33991 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624345 | Andrea Gonzalez | Social Worker | 902 Sw 8th Ct, Cape Coral, FL 33991-4409 | 2020-06-22 |
| 1790247161 | Tiffany Burbidge Harnett | Social Worker | 3006 Sw 1st Pl, Cape Coral, FL 33914-4503 | 2019-04-03 |
| 1619448040 | Carol Marie Levitre | Social Worker | 4825 Sw 24th Pl, Cape Coral, FL 33914-6730 | 2018-12-11 |
| 1588155568 | Advanced Counseling Care and Change Inc | Social Worker | 19 Del Prado Blvd N Ste 101, Cape Coral, FL 33909-2758 | 2018-05-24 |
| 1124543962 | Yalily Perez Smith | Social Worker | 303 Ne 3rd Ave Ste 7&8, Cape Coral, FL 33909-2538 | 2017-08-12 |
| 1851766471 | Malissa Maki | Social Worker | 3723a Delprado Blvd, Cape Coral, FL 33904 | 2015-12-08 |
| 1811360845 | Janice Stepnoski | Social Worker | 20 Se 17th Ave, Cape Coral, FL 33990-1339 | 2015-11-13 |
| 1487026019 | Christina Kolb | Social Worker | 144 S.e. 21st Terrace, Cape Coral, FL 33990 | 2015-10-22 |
| 1104296425 | Jose Garcia-mayor | Social Worker | 1513 Sw 13th Ter, Cape Coral, FL 33991-2935 | 2015-09-29 |
| 1194103606 | Tricia Betters-black | Social Worker | 1514 Ne 11th Ter, Cape Coral, FL 33909-1547 | 2015-05-16 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33991 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.