JENNIFER LEE GUEVARA


Address: 215b Memorial Dr, Jacksonville, NC 28546-6333
Phone: 2527477824

JENNIFER LEE GUEVARA (NPI# 1821615980) 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) 1821615980
Entity Type Individual
Full Name JENNIFER LEE GUEVARA
Credential LCSW-A
Practice Address 215b Memorial Dr
Jacksonville
NC 28546-6333
Mailing Address 2701 N 16th St Ste 316
Phoenix
AZ 85006-1266
Practice Telephone 2527477824
Practice Fax Number 9105770383
Mailing Telephone 6026364409
Enumeration Date 2020-07-06
Last Update Date 2020-07-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
P014755 NC Behavioral Health & Social Service Providers

Office Location

Street Address 215B MEMORIAL DR
City JACKSONVILLE
State NC
Zip Code 28546-6333

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417428483 Recovery Innovations Inc Clinic/Center 215b Memorial Dr, Jacksonville, NC 28546-6333 2018-12-17
1396355079 Leslie Jones Social Worker 215b Memorial Dr, Jacksonville, NC 28546-6333 2020-08-06
1497213847 Julia Neal Counselor 215b Memorial Dr, Jacksonville, NC 28546-6333 2019-03-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316578388 Judylyn Hobson Registered Nurse Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 2020-01-29
1427694637 Aaron Patrick Bettcher Military Health Care Provider 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 2019-11-22
1962044289 Levi Scott Marshall Military Health Care Provider Everett Creek Road, Building 612, Camp Lejeune, NC 28546 2019-10-09
1649826652 Nicholas Otazo Military Health Care Provider 3rd Mrb 20073, Camp Lejeune, NC 28546 2019-08-15
1417519570 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 2019-06-28
1023500212 Josip Ninrodriguez Military Health Care Provider 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 2018-06-04
1639661192 Kenneth Lee Russell Military Health Care Provider 3d Marine Raider Battalion, Camp Lejeune, NC 28546 2018-05-31
1346730173 Coastal Foot Center, LLC Clinic/Center 29 Office Park Dr Ste B, Jacksonville, NC 28546 2018-05-17
1578080271 Walgreen Co Durable Medical Equipment & Medical Supplies 380 Western Blvd, Jacksonville, NC 28546 2017-08-24
1144757493 Darin Lee Peterson Specialist/Technologist G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 2017-05-17
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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
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 28546

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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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