ROSELYN PEREZ (NPI# 1700351921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700351921 |
| Entity Type | Individual |
| Full Name | ROSELYN PEREZ |
| Credential | LCSW |
| Practice Address |
463142 State Road 200 Yulee FL 32097-5554 |
| Practice Telephone | 9042258280 |
| Practice Fax Number | 9043355005 |
| Mailing Telephone | 9042258280 |
| Mailing Fax Number | 9043355005 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW15431 | FL | Behavioral Health & Social Service Providers |
| Street Address |
463142 STATE ROAD 200 |
| City | YULEE |
| State | FL |
| Zip Code | 32097-5554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851377022 | Harry Spencer Turner | Preventive Medicine | 463142 State Road 200, Yulee, FL 32097-5554 | 2005-12-20 |
| 1154930923 | Ciara Nicole Weeks Jenkins | Social Worker | 463142 State Road 200, Yulee, FL 32097-5554 | 2020-07-28 |
| 1255949970 | Mia Roberts | Case Manager/Care Coordinator | 463142 State Road 200, Yulee, FL 32097-5554 | 2020-07-20 |
| 1780159822 | Alexandra Baker Johnson | Nurse Practitioner | 463142 State Road 200, Yulee, FL 32097-5554 | 2018-10-04 |
| 1144711730 | Megan E Atwood | Marriage & Family Therapist | 463142 State Road 200, Yulee, FL 32097-5554 | 2018-05-20 |
| 1316438906 | Alissa Lois Cook | Counselor | 463142 State Road 200, Yulee, FL 32097-5554 | 2018-05-20 |
| 1992203624 | Lauren Taylor | Counselor | 463142 State Road 200, Yulee, FL 32097-5554 | 2018-01-29 |
| 1932613213 | Carissa Lynn Brede | Counselor | 463142 State Road 200, Yulee, FL 32097-5554 | 2017-11-26 |
| 1679931497 | Latonya Williams | Case Manager/Care Coordinator | 463142 State Road 200, Yulee, FL 32097-5554 | 2016-02-08 |
| 1184089286 | Gina Ferens | Counselor | 463142 State Road 200, Yulee, FL 32097-5554 | 2015-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432012 | Sinead Carr | Speech-Language Pathologist | Pediatric Therapy Associates, 463380 State Rd 200 Unit A, Yulee, FL 32097 | 2020-09-17 |
| 1932749298 | Lekira Elmore Taylor | Nurse's Aide | 951421 Bridge Parkway, Fernandina Beach, FL 32097 | 2020-01-14 |
| 1003451816 | Faculty Associates, Inc | Dentist | 76011 William Burgess Boulevard, Yulee, FL 32097 | 2019-11-15 |
| 1932744414 | Beckham's Holdings,llc | Eyewear Supplier (Equipment, not the service) | 463688 Fl-200, Suite 9, Yulee, FL 32097 | 2019-11-08 |
| 1740836048 | University of Florida Jacksonville Physicians Inc | Clinic/Center | 76011 William Burgess Blvd, Yulee, FL 32097 | 2019-08-13 |
| 1669039400 | Genesis Health Development, Inc. | Clinic/Center | 463721 Sr 200, Suite 7, Jacksonville, FL 32097 | 2019-05-28 |
| 1366981540 | Shannon C Taylor | Occupational Therapist | 75136 Ravenwood Drive, Yulee, FL 32097 | 2017-02-21 |
| 1982063244 | Suzanne J Leffew | Nurse Practitioner | 463646 Sr 200 West, Ste. 12, Yulee, FL 32097 | 2016-02-15 |
| 1558737163 | Sun Gallery Enterprises | Eyewear Supplier (Equipment, not the service) | 463867 Sr 200, Suite 4, Yulee, FL 32097 | 2015-08-18 |
| 1962777177 | Spirit Enterprises | Skilled Nursing Facility | 9035 Brian Dairy Road, Largo Health Center, Largo, FL 32097 | 2012-03-21 |
| Find all providers in zip 32097 | ||||
| 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 |
|---|---|---|---|---|
| 1154930923 | Ciara Nicole Weeks Jenkins | Social Worker | 463142 State Road 200, Yulee, FL 32097-5554 | 2020-07-28 |
| 1780985515 | Cathiana Philippe | Social Worker | 463142 State Road 200, Yulee, FL 32097-5554 | 2010-11-10 |
| 1770724429 | Kathleen Washburn | Social Worker | 87010 Professional Way, Yulee, FL 32097-3400 | 2009-03-10 |
| 1609063353 | Michelle Holley | Social Worker | 463142 State Road 200, Yulee, FL 32097-5554 | 2007-09-26 |
| 1013926724 | Marcia Winter | Social Worker | 463142 State Road 200, Yulee, FL 32097-5554 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679303 | Kamarie Lee Larson | Social Worker | 913 Gulf Breeze Pkwy Ste 26b, Gulf Breeze, FL 32561-4731 | 2020-11-08 |
| 1023619772 | Nichole Goff | Social Worker | 12151 Waterstone Ct Apt 826, Orlando, FL 32825-7035 | 2020-11-07 |
| 1356942262 | Shirley Roseman | Social Worker | 1450 E Sample Rd Apt 101, Pompano Beach, FL 33064-6267 | 2020-11-06 |
| 1760083729 | Phoenix Marie Klemann | Social Worker | 3311 Mona Dr, Navarre, FL 32566-9742 | 2020-11-05 |
| 1679174726 | Violett Counseling & Consulting Services LLC | Social Worker | 30 Wisteria Dr, Ormond Beach, FL 32176-2408 | 2020-11-05 |
| 1336740422 | Marissa Pinto | Social Worker | 3642 Eldron Ave, North Port, FL 34286-7453 | 2020-11-04 |
| 1710588991 | Mario Jesus Noguera | Social Worker | 18179 Nw 73rd Ave, Hialeah, FL 33015-6198 | 2020-11-04 |
| 1801497185 | Andrey Davydov | Social Worker | 3800 N Hills Dr Apt 106, Hollywood, FL 33021-2541 | 2020-11-04 |
| 1902407299 | Beverly Diane Sweeting | Social Worker | 10961 Sw Ivory Springs Ln, Port St Lucie, FL 34987-7710 | 2020-11-04 |
| 1174124622 | Cardinal Counseling Services, LLC | Social Worker | 2161 16th Ave Sw, Naples, FL 34117-4338 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROSELYN PEREZ.
| 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.