TYLISHA ELYSE DESHIELDS


Address: 554 Keily Street, Jacksonville, FL 32212
Phone: 7579537550

TYLISHA ELYSE DESHIELDS (NPI# 1144733627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144733627
Entity Type Individual
Full Name TYLISHA ELYSE DESHIELDS
Credential LCSW-C
Practice Address 554 Keily Street
Jacksonville
FL 32212
Practice Telephone 7579537550
Practice Fax Number 7579537560
Mailing Telephone 7579537550
Mailing Fax Number 7579537560
Enumeration Date 2017-11-07
Last Update Date 2017-11-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
19390 MD Behavioral Health & Social Service Providers

Office Location

Street Address 554 KEILY STREET
City JACKSONVILLE
State FL
Zip Code 32212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326019373 Brian G Norwood Pediatrics 554 Keily Street, Jacksonville, FL 32212 2006-01-29
1811461726 Yocelin Hernandez Rojero Occupational Therapist 554 Keily Street, Jacksonville Fl 32212, Jacksonville, FL 32212 2019-01-14
1609381235 Miranda Shilelagh Schmidt Physician Assistant 554 Keily Street, Jacksonville, FL 32212 2017-12-05
1326557976 David Michael Tatera Psychologist 554 Keily Street, Jacksonville, FL 32212 2017-09-27
1104335348 Kuang-hui Lee General Practice 554 Keily Street, Jacksonville, FL 32212 2017-09-20
1548788177 Sophia Renee Beal Speech-Language Pathologist 554 Keily Street, Jacksonville, FL 32212 2017-09-04
1164949418 George S Bennitt Dentist 554 Keily Street, Jacksonville, FL 32212-4047 2017-08-28
1124545389 David Phillips Student in an Organized Health Care Education/Training Program 554 Keily Street, Centralized Credential and Privileging Directorate, Jacksonville, FL 32212-2466 2017-08-28
1902323652 Erich Chen Student in an Organized Health Care Education/Training Program 554 Keily Street, Jacksonville, FL 32212 2017-08-24
1871010751 David Facer Dentist 554 Keily Street, Jacksonville, FL 23227 2017-08-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952911752 Jeff Woohyeok Chang Dentist 964 Ajax Street, Jacksonville, FL 32212 2020-08-06
1518484427 Amy Kathryn Lee Student in an Organized Health Care Education/Training Program Bumed, Centralized Credential & Privileging Directorate, 554 Keily Street, Jacksonville, FL 32212 2017-08-23
1659827970 Noah Fixelle Dentist Bureau of Med and Surg Ccpd, 554 Keily Street, Jacksonville, VA 32212 2016-08-28
1972953339 Colin Kenneth Kelly General Practice Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 2016-06-16
1912382359 Caitlyn Brooke Hoysock Dentist 554 Keiley Street, Bureau of Medicine and Surgery - Credentials, Jacksonville, FL 32212 2015-07-28
1285017418 John Alexander Ruch Dentist 554 Keily Street Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 2015-07-07
1407238561 Amanda Mona Lau Student in an Organized Health Care Education/Training Program 554 Kelly Street, Attn Centralized Credentialing, Bureau of Medicine and Surgery, Jacksonville, FL 32212 2015-06-25
1063894715 Heather Dehaan Family Medicine 554 Kelly Street Bureau of Medicine and Surgery, Attention: Centralized Credentialing & Privileging Dire, Jacksonville, FL 32212 2015-06-18
1912389677 Catherine Garcia Student in an Organized Health Care Education/Training Program 554 Kelly St, Credentialing & Privileging Directorate, Bureau of Medicine & Surgery, Attention: Centralized, Jacksonville, FL 32212 2015-06-18
1255712675 James Robert Benson Dentist 734 Keily Street, Bumed, Jacksonville, FL 32212 2015-06-11
Find all providers in zip 32212

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336748193 Sophia Venditti Social Worker 2598 Post St # 1, Jacksonville, FL 32204-4256 2020-10-22
1629676093 My Journey, LLC Social Worker 13453 N Main St Ste 204, Jacksonville, FL 32218-2773 2020-10-16
1104423524 Sonya Young Social Worker 920 Bridier St, Jacksonville, FL 32206-5904 2020-10-08
1043823115 Sierra Lashonda Murray Social Worker 9246 Thunderbolt Dr, Jacksonville, FL 32221-8052 2020-08-28
1235741901 Deidra Lewis Social Worker 4480 Deerwood Lake Pkwy Unit 134, Jacksonville, FL 32216-2255 2020-08-23
1497365456 Darlene Denise Rolle- Cargill Social Worker 14050 Integra Dr Apt 420, Jacksonville, FL 32218-2592 2020-08-05
1689282626 Andrea Kristin Perkinson Social Worker 128 Plow Point Ln, Jacksonville, NC 28546-9591 2020-07-15
1255956371 Noel Roman Social Worker 11775 Carson Lake Dr W, Jacksonville, FL 32221-3812 2020-06-15
1285257535 Phaith Coaching & Counseling, LLC Social Worker 4940 Emerson St, Jacksonville, FL 32207-4963 2020-05-21
1407478613 Mara's Lighthouse Counseling Center, LLC Social Worker 6015 Morrow St E Ste 114, Jacksonville, FL 32217-2125 2020-05-11
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Competitor

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City JACKSONVILLE
Zip Code 32212

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Dataset Information

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.

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