JEAN ELYSE GAUTREAUX (NPI# 1184173981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184173981 |
| Entity Type | Individual |
| Full Name | JEAN ELYSE GAUTREAUX |
| Practice Address |
2475 Palm Bay Rd Ne Suite 130 #4 Palm Bay FL 32905 |
| Mailing Address |
2257 Whiteside Ave Se Palm Bay FL 32909-6044 |
| Practice Telephone | 3214052583 |
| Mailing Telephone | 3214052583 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW16874 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1127 S Patrick Dr, Satellite Beach, FL 329373939 | 3217731111 | 3217731692 |
| Street Address |
2475 PALM BAY RD NE SUITE 130 #4 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336788363 | Jean Gautreaux LLC | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905-3362 | 2019-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
| 1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
| 1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
| 1699266361 | Coastal Visioncare LLC | Optometrist | 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 | 2018-05-29 |
| 1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
| 1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
| 1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
| 1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
| 1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
| 1003186040 | Julie Artley | Pharmacist | 1213 Palm Bay Rd, Ne, Melbourne, FL 32905 | 2012-01-09 |
| Find all providers in zip 32905 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861951576 | Brashaun Simone Ellington | Social Worker | 1465 Malibu Cir Ne Apt 109, Palm Bay, FL 32905-6311 | 2019-03-13 |
| 1649752973 | Community of Hope, Inc | Social Worker | 4515 Babcock St Ne, Palm Bay, FL 32905-2824 | 2018-09-04 |
| 1689153249 | Marisell Santos Cruz | Social Worker | 995 Niagara St Nw, Palm Bay, FL 32907-7710 | 2018-08-13 |
| 1285084707 | Alan-philip Rejean Auglis | Social Worker | 391 Myakka St Ne, Palm Bay, FL 32907-1312 | 2016-06-15 |
| 1235592395 | Monique Thomas | Social Worker | 1267 Wabash Rd Se, Palm Bay, FL 32909-5550 | 2016-04-05 |
| 1235502022 | Nancy Shaffer Klein | Social Worker | 1501 Robert J Conlan Blvd Ne Ste 200, Palm Bay, FL 32905-3561 | 2015-11-03 |
| 1184034050 | Vivian Tejera | Social Worker | 467 Biscayne Ave Nw, Palm Bay, FL 32907-1716 | 2014-05-01 |
| 1295091346 | Rebecca Brooks | Social Worker | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2012-04-03 |
| 1013930254 | Denise Porter | Social Worker | 1591 Robert J Conlan Blvd Ne, S-128, Palm Bay, FL 32905-3564 | 2006-07-26 |
| 1437625225 | Sivan Emery | Social Worker | 1071 Port Malabar Blvd Ne, Palm Bay, FL 32905-5161 | 2018-10-18 |
| Find all providers in PALM BAY | ||||
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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.