CROSSROADS THERAPY, LLC (NPI# 1285144949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285144949 |
| Entity Type | Organization |
| Organization Name | CROSSROADS THERAPY, LLC |
| Practice Address |
408 4th St N Jacksonville Beach FL 32250-5620 |
| Mailing Address |
333 9th St Atlantic Beach FL 32233-5437 |
| Practice Telephone | 9048537780 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Authorized Official Name | KELLY SUZANNE GORDON (THERAPIST) |
| Authorized Official Telephone | 9048537780 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
14099 | FL | Behavioral Health & Social Service Providers |
| Street Address |
408 4TH ST N |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-5620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| 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 |
|---|---|---|---|---|
| 1386009918 | Kelli Elder Cutright | Social Worker | 315 10th Ave S, Jacksonville Beach, FL 32250-5135 | 2015-12-26 |
| 1922471721 | Beaches Therapy LLC | Social Worker | 1552 Roberts Dr, Jacksonville Beach, FL 32250-3222 | 2015-11-03 |
| 1174943815 | Lisa Rotella | Social Worker | 3004 3rd St S, Jacksonville Beach, FL 32250-6033 | 2014-04-21 |
| 1225478654 | Lynn Bertram | Social Worker | 2457 3rd St S, Jacksonville Beach, FL 32250-4066 | 2013-06-29 |
| 1003252594 | Daniel J Button | Social Worker | 102 10th Ave N, Jacksonville Beach, FL 32250-7219 | 2013-05-11 |
| 1174874713 | Eleni Sheklin | Social Worker | 3401 Ocean Cay Cir, Jacksonville Beach, FL 32250-3924 | 2012-09-23 |
| 1538465166 | Janet Fienemann | Social Worker | 909 5th Ave N, Jacksonville Beach, FL 32250-4515 | 2011-01-29 |
| 1598992844 | Dana L Burnette | Social Worker | 2320 3rd St S Ste 300, Jacksonville Beach, FL 32250-4058 | 2009-06-14 |
| 1376671610 | Linda J. Miller-dowie, Inc. | Social Worker | 2320 3rd St S, Suite 3, Jacksonville Beach, FL 32250-4058 | 2007-02-28 |
| 1447307525 | Ryan James O'donnell | Social Worker | 1003 3rd St. N. Suite 4, Jacksonville Beach, FL 32250 | 2007-01-04 |
| Find all providers in JACKSONVILLE BEACH | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
Please comment or provide details below to improve the information on CROSSROADS THERAPY, LLC.
| 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.