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Jacqueline Smith-Brown , MA

Social Worker β€’ Jacksonville, FL

Active NPI 1497880587 Individual Practitioner Female Practitioner
Practice location in NPPES

5831 Liska Dr
Jacksonville, FL 322442183

Call 9046516049 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

5831 Liska Dr

Jacksonville, FL 322442183

Telephone 9046516049
Organization at the Same NPPES Address or Phone
Brown's Transitional Supported Living Of Fl,llc Facility NPI 1346757259

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

NPI first issued

2007

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, β€œDoes 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Addresses are self-reported to NPPES and may be out of date.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 Β· Report an error.

Specialties & License Numbers Reported to NPPES

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES FL 017296700

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.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
017296700 (FL)
Medicaid ID
759172100 (FL)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 29, 2018

Registered at 5831 LISKA DR, JACKSONVILLE, FL 322442183 (Tel: 9046516049)

πŸ“
Updated Business Mailing Address March 13, 2018

Registered at 5831 LISKA DR, JACKSONVILLE, FL 322442183 (Tel: 9046516049)

βœ…
NPI Profile Active August 22, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 22, 2016

Registered at 4615 PHILLIPS HWY, JACKSONVILLE, FL 322077265 (Tel: 9047308283)

πŸ“
Business Mailing Address (Initial Record) August 22, 2016

Registered at 4615 PHILLIPS HWY, JACKSONVILLE, FL 322077265 (Tel: 9047308283)

πŸ‘€
Provider Name / Credentials (Initial Record) August 22, 2016

Recorded as JACQUELINE SMITH-BROWN, M.A.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2016

Social Worker (license number reported to NPPES: FL 017296700)

🟒
Initial NPI Registration & Enumeration February 22, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497880587
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2007
Last Update: October 29, 2018
Sole Proprietor: No

Mailing Address

5831 Liska Dr

Jacksonville, FL 322442183

Phone: 9046516049

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.