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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW16225 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639522519 | Jill Collum | Physical Therapist | 21097 Ne 27th Ct, Suite 540, Aventura, FL 33180-1204 | 2016-07-15 |
| Street Address |
4620 17TH ST |
| City | SARASOTA |
| State | FL |
| Zip Code | 34235-1843 |
| 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 | ||||
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
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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.