MR. JESSE LANDIS


Address: 2180 W 1st St, Suite 202, Fort Myers, FL 33901-3222
Phone: 2393328009

MR. JESSE LANDIS (NPI# 1700061074) 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) 1700061074
Entity Type Individual
Full Name MR. JESSE LANDIS
Credential LCSW
Practice Address 2180 W 1st St
Suite 202
Fort Myers
FL 33901-3222
Practice Telephone 2393328009
Mailing Telephone 2393328009
Enumeration Date 2008-01-07
Last Update Date 2008-05-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
SW7171 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL PROFESSIONAL LICENSE SW7171 01

Office Location

Street Address 2180 W 1ST ST
SUITE 202
City FORT MYERS
State FL
Zip Code 33901-3222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457491714 Rafael Lopez Clinical Neuropsychologist 2180 W 1st St, Suite 202, Fort Myers, FL 33901-3222 2007-02-07
1639309024 Diana Monroe Social Worker 2180 W 1st St, Suite 202, Fort Myers, FL 33901-3222 2009-07-20
1366686461 Hector R Berrio Counselor 2180 W 1st St, Suite 202, Fort Myers, FL 33901-3222 2009-04-21
1568615631 June Serralles Counselor 2180 W 1st St, Suite 202, Fort Myers, FL 33901-3222 2008-11-03
1760639322 Harry Sands Counselor 2180 W 1st St, Suite 202, Fort Myers, FL 33901-3222 2008-08-26
1699931063 Elizabeth J Brown Social Worker 2180 W 1st St, Suite 202, Fort Myers, FL 33901-3222 2008-08-05
1306029046 Stacy Sokol Social Worker 2180 W 1st St, Suite 202, Fort Myers, FL 33901-3222 2007-12-17
1245422591 Christine Mary Pound Social Worker 2180 W 1st St, Suite 202, Fort Myers, FL 33901-3222 2007-08-10
1376684654 Frances Crowley Counselor 2180 W 1st St, Suite 202, Fort Myers, FL 33901-3222 2007-02-09
1740320050 Estafan N.s. Farag Social Worker 2180 W 1st St, Suite 202, Fort Myers, FL 33901-3222 2007-02-07
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NPI Name Taxonomy Address Enumeration
1811536972 Daniel Wolfe Speech-Language Pathologist 3375 Evans Avenue, Fort Myers, FL 33901 2020-01-06
1841764065 Medicab Transportation, LLC Ambulance 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 2019-01-22
1760963649 Jamies Home Care Services LLC Home Health 1944 Suwanee Ave, Fort Myers, FL 33901 2018-08-28
1942673900 Adriana Ramnarine Dietitian, Registered 2727 Winkler Ave., Fort Myers, FL 33901 2015-11-12
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1013327832 Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC Chiropractor 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 2014-05-01
1588087076 Larry Philip Garrett Family Medicine 3543 Stuart Ct, Fort Myers, FL 33901 2014-02-04
1144657479 Janet M Michael Registered Nurse 3763 Evans Ave., Fort Myers, FL 33901 2013-10-01
1366879785 Gina Lee Guerrero Licensed Practical Nurse 3736 Evans Ave, Fort Myers, FL 33901 2013-09-30
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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
1508473554 Karen Murray Social Worker 1531 Passaic Ave, Fort Myers, FL 33901-6840 2020-09-24
1134739253 Islande Dorcin Social Worker 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 2020-08-04
1184232795 Nelson L Hadler, LLC Social Worker 15611 New Hampshire Ct, Fort Myers, FL 33908-4171 2020-07-20
1346863164 Nancy Sanchez Social Worker 17144 Ravens Roost Apt 9, Fort Myers, FL 33908-4482 2020-05-27
1124641279 Cathylee Weber Social Worker 8920 Fawn Ridge Dr, Fort Myers, FL 33912-1483 2020-05-24
1588287122 Carolina's Compassionate Counseling Social Worker 11920 Fairway Lakes Dr Ste 3, Fort Myers, FL 33913-8368 2020-05-18
1386287415 Carey Danna Social Worker 12557 New Brittany Blvd Ste 3, Fort Myers, FL 33907-3651 2019-10-22
1629556840 The Onyx Counseling Center, LLC Social Worker 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 2018-07-31
1518460419 Jessica Ruth Yost Bledsoe Social Worker 8570 Cypress Lake Dr, Fort Myers, FL 33919-5117 2018-03-16
1427594191 Rosemitha Lynch Social Worker 12429 Rock Ridge Ln, Fort Myers, FL 33913-6764 2017-01-18
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Competitor

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City FORT MYERS
Zip Code 33901

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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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