ALYSA M GREGORY (NPI# 1639727316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639727316 |
| Entity Type | Individual |
| Full Name | ALYSA M GREGORY |
| Credential | LCSW |
| Practice Address |
9 San Bartola Dr St Augustine FL 32086-5767 |
| Mailing Address |
7015 A C Skinner Pkwy Ste 1 Jacksonville FL 32256-6932 |
| Practice Telephone | 9048254500 |
| Practice Fax Number | 9048253672 |
| Mailing Telephone | 9043632113 |
| Mailing Fax Number | 9043632606 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW16136 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL BLUE | 882F4 | 01 |
| FL | MEDICARE | LU495 | 01 |
| Street Address |
9 SAN BARTOLA DR |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-5767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558708 | Keith M Justice | Internal Medicine | 9 San Bartola Dr, St Augustine, FL 32086-5767 | 2005-06-14 |
| 1942745997 | Krista Lee Barber | Social Worker | 9 San Bartola Dr, St Augustine, FL 32086-5767 | 2016-12-29 |
| 1275918989 | Michelle A Hartley | Nurse Practitioner | 9 San Bartola Dr, St Augustine, FL 32086-5767 | 2015-07-23 |
| 1093129207 | Sameer M Baig | Internal Medicine | 9 San Bartola Dr, St Augustine, FL 32086-5767 | 2014-06-16 |
| 1689925240 | Cancer Specialists LLC | Durable Medical Equipment & Medical Supplies | 9 San Bartola Dr, St Augustine, FL 32086-5767 | 2012-09-24 |
| 1285862185 | Hassan Ali Hassan | Internal Medicine | 9 San Bartola Dr, St Augustine, FL 32086-5767 | 2009-06-30 |
| 1043485956 | Gaurav Trikha | Internal Medicine | 9 San Bartola Dr, St Augustine, FL 32086-5767 | 2008-04-23 |
| 1922207547 | Birendra Kc | Internal Medicine | 9 San Bartola Dr, St Augustine, FL 32086-5767 | 2007-07-13 |
| 1326193764 | Integrated Community Oncology Network LLC | Internal Medicine | 9 San Bartola Dr, St Augustine, FL 32086-5767 | 2007-01-24 |
| 1861459661 | Daniele J Montgomery | Internal Medicine | 9 San Bartola Dr, St Augustine, FL 32086-5767 | 2006-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| 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 |
|---|---|---|---|---|
| 1902360837 | Yuliana Zapata | Social Worker | 201 Health Park Blvd Ste 212, St Augustine, FL 32086-5797 | 2019-01-24 |
| 1568933844 | Carrie Beth Reese | Social Worker | 1016 W Aiken St, St Augustine, FL 32084-9515 | 2018-12-11 |
| 1447773270 | Lori T Reasonover | Social Worker | 305 Kingsley Lake Dr Ste 702, St Augustine, FL 32092-3045 | 2017-07-24 |
| 1437605177 | Jenifer Long | Social Worker | 1301 Plantation Island Drive South, Suite 201a, St Augustine, FL 32080 | 2016-09-01 |
| 1528451333 | Jennifer Leighs Wilson | Social Worker | 141 Whispering Oaks Cir, St Augustine, FL 32080-1703 | 2015-03-18 |
| 1689072514 | Caitlin Rose Labrador | Social Worker | 1301 Plantation Island Dr S Ste 201b, St Augustine, FL 32080-3116 | 2014-12-09 |
| 1629417472 | Jill A. Yoerger-churchwell | Social Worker | 1 Oak Tree Ln, St Augustine, FL 32084-1236 | 2013-06-14 |
| 1497006050 | Diane M Longo | Social Worker | 620 21st St, St Augustine, FL 32084-1706 | 2012-09-24 |
| 1659667194 | Jana S Mercado | Social Worker | 2040 Glenfield Crossing Ct, St Augustine, FL 32092-5035 | 2011-06-23 |
| 1568757458 | Carol Hooper, Lcsw | Social Worker | 9 East Ln, St Augustine, FL 32084-3209 | 2011-06-19 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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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.