JILL A COLLUM


Address: 4620 17th St, Sarasota, FL 34235-1843
Phone: 9413718820

JILL A COLLUM (NPI# 1902432164) 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) 1902432164
Entity Type Individual
Full Name JILL A COLLUM
Credential LCSW
Practice Address 4620 17th St
Sarasota
FL 34235-1843
Mailing Address 1270 Banchory Ln
Sarasota
FL 34237-3242
Practice Telephone 9413718820
Mailing Telephone 9413121529
Enumeration Date 2020-03-19
Last Update Date 2020-03-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
SW16225 FL Behavioral Health & Social Service Providers

Other Providers JILL COLLUM

NPI Name Taxonomy Address Enumeration
1639522519 Jill Collum Physical Therapist 21097 Ne 27th Ct, Suite 540, Aventura, FL 33180-1204 2016-07-15

Office Location

Street Address 4620 17TH ST
City SARASOTA
State FL
Zip Code 34235-1843

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386758159 Sharon Mueller Horiszny Counselor 4620 17th St, Sarasota, FL 34235-1843 2006-08-18
1083212047 Sandra M Chalarca-torres Social Worker 4620 17th St, Sarasota, FL 34235-1843 2020-10-13
1548867104 Michele Duss Social Worker 4620 17th St, Sarasota, FL 34235-1843 2020-10-07
1801493945 Stephanie Strahlman Counselor 4620 17th St, Sarasota, FL 34235-1843 2020-10-01
1356994503 Deanna Veremchuk Counselor 4620 17th St, Sarasota, FL 34235-1843 2019-07-17
1518510759 Natalie Lauren Ramos Dennison Social Worker 4620 17th St, Sarasota, FL 34235-1843 2019-07-17
1780161026 Susan Delgallo Occupational Therapist 4620 17th St, Sarasota, FL 34235-1843 2018-07-19
1417446105 Melissa Nicole Bradley Counselor 4620 17th St, Sarasota, FL 34235-1843 2018-05-08
1487168829 Jill Salak Social Worker 4620 17th St, Sarasota, FL 34235-1843 2017-11-21
1467820233 Melissa Cox Occupational Therapist 4620 17th St, Sarasota, FL 34235 2015-09-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366939647 Cooper Creek Facility LLC Skilled Nursing Facility 5381 Desoto Road, Sarasota, FL 34235 2018-04-22
1043714082 Rosemary Gribbin Developmental Therapist Gulf Central Early Steps, 4630 17th Street, Sarasota, FL 34235 2018-03-23
1467979864 Amber Parry Social Worker 4630 17th St., Sarasota, FL 34235 2017-08-25
1528598307 Milena Aleman Occupational Therapy Assistant 4029 Felipi Lane, Sarasota, FL 34235 2017-06-14
1194259614 Rosemarie Tabangay Hartman Occupational Therapy Assistant 5381 De Soto Rd, Sarasota, FL 34235 2017-04-12
1790957710 Cathy Keskin Occupational Therapy Assistant 5201 Desota Rd., Sarasota, FL 34235 2008-03-31
1215107487 Rebekah A.s. Nouri Social Worker 4630 17th Street, Sarasota, FL 34235 2008-03-04
1578642880 Davinder Singh Bhamber Internal Medicine 5250 17th St, Suite 7, Sarasota, FL 34235 2006-11-06
1548352230 Cathy Lynne Matthews Midwife, Lay 4944 Midnight Lane, Sarasota, FL 34235 2006-09-29
1831122050 Dawn Affeldt Counselor 3300 17th Street, Sarasota, FL 34235 2006-07-09
Find all providers in zip 34235

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
1295343564 Cheryl Anne Leigh Social Worker 5758 Beaurivage Ave, Sarasota, FL 34243-2688 2020-07-22
1720696255 Jessica Gastman Social Worker 3411 72nd Dr E, Sarasota, FL 34243-3375 2020-07-21
1417586470 April Kelsey Collins Social Worker 150 Faubel St, Sarasota, FL 34242-1114 2020-04-02
1700424124 Deborah Lynn Kirby Social Worker 1547 Napoli Dr W, Sarasota, FL 34232-6928 2019-12-16
1194363697 Annie Altenor Social Worker 2503 S Scarlet Oak Ct, Sarasota, FL 34232-6120 2019-12-15
1871147892 Mary Howell Social Worker 3333 Clark Rd Ste 110, Sarasota, FL 34231-8437 2019-07-29
1538647656 Stephanie Lee Diez Social Worker 946 40th St, Sarasota, FL 34234-4320 2018-07-31
1013416999 Mobilepreacher.org Social Worker 2881 Clark Rd Ste 11, Sarasota, FL 34231-6298 2018-02-06
1033634613 Deborah J Ballantine Social Worker 1590 Siesta Dr, Sarasota, FL 34239-5819 2017-08-04
1629525803 Palm Avenue Counseling, Pllc Social Worker 47 S Palm Ave, Suite 212, Sarasota, FL 34236-5699 2016-09-06
Find all providers in SARASOTA

Competitor

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City SARASOTA
Zip Code 34235

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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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