SALLY A FOWLER (NPI# 1780736991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780736991 |
| Entity Type | Individual |
| Full Name | SALLY A FOWLER |
| Credential | LCSW |
| Practice Address |
3601 Hendricks Avenue Jacksonville FL 32207 |
| Practice Telephone | 9043962666 |
| Practice Fax Number | 9043962698 |
| Mailing Telephone | 9043962666 |
| Mailing Fax Number | 9043962698 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW5174 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PRIVATE HEALTHCARE SYSTEM | 9154134 | 01 | |
| FL | BLUE CROSS BLUE SHIELD | Z117E | 01 |
| FL | BLUE CROSS BLUE SHIELD | Z0894 | 01 |
| Street Address |
3601 HENDRICKS AVENUE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588716799 | Sheldon J Kaplan Phd and Associates | Psychologist | 3601 Hendricks Avenue, Jacksonville, FL 32207 | 2007-01-17 |
| 1699827808 | Michael Anthony Sisbarro | Psychologist | 3601 Hendricks Avenue, Jacksonville, FL 32207 | 2007-01-17 |
| 1518019710 | Paula Jane Griffin | Counselor | 3601 Hendricks Avenue, Jacksonville, FL 32207 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on SALLY A FOWLER.
| 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.