MS. KIAN FAY JACOBS (NPI# 1992923635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992923635 |
| Entity Type | Individual |
| Full Name | MS. KIAN FAY JACOBS |
| Credential | LCSW |
| Practice Address |
17 Juniper Dr Ormond Beach FL 32176-2405 |
| Mailing Address |
108 Timberline Trail Ormond Beach FL 32174-4925 |
| Practice Telephone | 8608173175 |
| Practice Fax Number | 3862369000 |
| Mailing Telephone | 8608173175 |
| Mailing Fax Number | 3862815091 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
006388 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14 Aborn Private Rd, Ellington, CT 060293120 | 8608173175 | 3862815091 |
| Street Address |
17 JUNIPER DR |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32176-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266888 | Today Counseling LLC | Social Worker | 17 Juniper Dr, Ormond Beach, FL 32176-2405 | 2020-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912488446 | Laura Kuftic | Massage Therapist | 496 Hollywood Street, None, Ormond Beach, FL 32176 | 2018-08-23 |
| 1154809846 | Thomas Dubrule | Technician, Pathology | 176 Ormwood Dr, Ormond Beach, FL 32176 | 2018-08-03 |
| 1326590316 | Rsc Ormond Beach Seaside LLC | Assisted Living Facility | 1050 Ocean Short Blvd, Ormond Beach, FL 32176 | 2016-10-26 |
| 1114270717 | Kristi L Lafreniere | Nurse Practitioner | 215 Ponce De Leon Drive, Ormond Bch, FL 32176 | 2012-10-19 |
| 1043589922 | Jocelyn Marie Mazelow | Pharmacist | 205 E Granada Blvd., Ormond Beach, FL 32176 | 2011-12-21 |
| 1437390630 | Neal Galen Henegar | Massage Therapist | 195 Coquina Court, Ormond Beach, FL 32176 | 2009-03-18 |
| 1669612602 | Margarita J. Vagnier | Occupational Therapy Assistant | 3 Briggs Drive, Ormond Beach, FL 32176 | 2009-03-04 |
| 1063676278 | Elaine C Murphy | Chore Provider | 129 Beau Rivage Drive, Ormond Beach, FL 32176 | 2008-07-16 |
| 1063575017 | Carol Lynn Learned | Chiropractor | 147 East Granada Blvd, Ormond Beach, FL 32176 | 2006-12-19 |
| 1730132044 | Charles Thomas Donaldson | Emergency Medicine | 7 Sea Oats Terraace, Ormond Beach, FL 32176 | 2006-05-18 |
| Find all providers in zip 32176 | ||||
| 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 |
|---|---|---|---|---|
| 1679174726 | Violett Counseling & Consulting Services LLC | Social Worker | 30 Wisteria Dr, Ormond Beach, FL 32176-2408 | 2020-11-05 |
| 1952963803 | Michele Lee Roberson | Social Worker | 391 Muddy Creek Ln, Ormond Beach, FL 32174-4895 | 2019-07-01 |
| 1386208668 | Karen Bradt | Social Worker | 84 Pine Trl, Ormond Beach, FL 32174-6932 | 2019-04-23 |
| 1205302775 | Ashley Claire Townsend | Social Worker | 38 Kenilworth Ave, Ormond Beach, FL 32174-5511 | 2018-10-22 |
| 1962909028 | Barbara Hope | Social Worker | 152 Holland Rd, Ormond Beach, FL 32176-3205 | 2018-04-06 |
| 1962944611 | Lauren Kaycie Boehm | Social Worker | 1113 Killarney Dr, Ormond Beach, FL 32174-2845 | 2016-11-11 |
| 1952762056 | Sheila L Cook | Social Worker | 634 N Halifax Dr, Ormond Beach, FL 32176-4762 | 2016-03-16 |
| 1710356811 | Kevin Bowman | Social Worker | 10 Fishermans Cir, Apt. 4, Ormond Beach, FL 32174-8126 | 2015-09-18 |
| 1275838559 | Dianna Lynn Sutton | Social Worker | 875 Wilmette Ave Apt 413, Ormond Beach, FL 32174-9515 | 2011-01-19 |
| 1578872669 | Timothy Best | Social Worker | 113 Camino Cir, Ormond Beach, FL 32174-7450 | 2010-10-07 |
| Find all providers in ORMOND BEACH | ||||
| City | ORMOND BEACH |
| Zip Code | 32176 |
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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.