JILL M MEEHAN (NPI# 1104309715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104309715 |
| Entity Type | Individual |
| Full Name | JILL M MEEHAN |
| Credential | LCSW |
| Practice Address |
105 Southpark Blvd Ste 202 Saint Augustine FL 32086-5191 |
| Mailing Address |
340 Cortez Dr Saint Augustine FL 32086-8894 |
| Practice Telephone | 9045400999 |
| Mailing Telephone | 9045409099 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW11575 | FL | Behavioral Health & Social Service Providers |
| Street Address |
105 SOUTHPARK BLVD STE 202 |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32086-5191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| 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 |
|---|---|---|---|---|
| 1265075584 | Lauren Chane | Social Worker | 3930 Us Highway 1 S, Saint Augustine, FL 32086-7089 | 2019-10-18 |
| 1265566079 | Michelle Jeannette Dunn | Social Worker | 443 Fox Water Trl, Saint Augustine, FL 32086 | 2007-03-15 |
| 1053476473 | Joan Tibaldi | Social Worker | 612 Copperhead Cir, Saint Augustine, FL 32092-2733 | 2006-12-26 |
| 1376524934 | Frances Valerie Saxenberg | Social Worker | 1056 Ridgewood Ln, Saint Augustine, FL 32086-3230 | 2005-11-10 |
| 1588263503 | Michelle Dunn Counseling | Social Worker | 443 Fox Water Trl, Saint Augustine, FL 32086-8418 | 2020-10-21 |
| 1386120863 | Elizabeth Ann Hayward | Social Worker | 25 Deltona Blvd, Saint Augustine, FL 32086-4203 | 2018-07-17 |
| 1740706647 | Reasonover Counseling and Consulting | Social Worker | 305 Kingsley Lake Dr Ste 702, Saint Augustine, FL 32092-3045 | 2017-08-22 |
| 1720504517 | Diana Baker Brummer | Social Worker | 157 Hampton Point Dr Ste 1, Saint Augustine, FL 32092-3054 | 2017-08-14 |
| 1548715329 | Lisa M Brice | Social Worker | 248 Southpark Cir E, Saint Augustine, FL 32086-5137 | 2016-08-22 |
| 1073924619 | Andrea Levinson | Social Worker | 2180 A1a S, Suite 201, Saint Augustine, FL 32080-6591 | 2014-05-16 |
| Find all providers in SAINT AUGUSTINE | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32086 |
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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.