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Aimee Lynn Provo , BS

Social Worker • Jacksonville, FL

Active NPI 1194070367 Individual Practitioner Female Practitioner
Practice location in NPPES

11820 Beach Blvd
Jacksonville, FL 322466670

Call 9046429100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11820 Beach Blvd

Jacksonville, FL 322466670

Telephone 9046429100
Organization at the Same NPPES Address or Phone
Mental Health Resource Center Inc Facility NPI 1851407365

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

296 active clinicians are listed under Social Worker with a practice address in Jacksonville, FL (5,486 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0.3% of these 296 clinicians have the CMS telehealth indicator.

1.4% of these 296 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Mikiantha Francis

Nurse Practitioner - Psychiatric/Mental Health

NPI 1093364317
Dr. Debabrata Saha , MD

Psychiatry & Neurology - Psychiatry

NPI 1225190523

Doctor of Medicine (M.D.)

Stephanie Stephens , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1720791106

Advanced Practice Registered Nurse

Dianna Tompkins , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1427669423

Advanced Practice Registered Nurse

Career & Practice History

NPI enumerated July 13, 2012.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1194070367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2012
Last Update: July 13, 2012
Sole Proprietor: Yes

Mailing Address

4263 Losco Rd Apt 1122

Jacksonville, FL 322571452

Phone: 9046429100

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.