Jennifer Serviss is a Social Worker practicing in Tampa, Florida. The National Provider Identifier (NPI) is #1750197570, which was assigned on December 6, 2024, and the registration record was last updated on December 6, 2024. The practitioner's main practice location is at 5707 N 22nd St, Tampa, FL 33610-4350; the contact telephone number is 8132398069, and the fax number is 8132317324. The primary taxonomy of Jennifer Serviss is Social Worker (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.
| NPI | 1750197570 |
| Entity Type | Individual |
| Provider Name | JENNIFER SERVISS |
| Gender | Female |
| Practice Address |
5707 N 22nd St Tampa FL 33610-4350 |
| Practice Telephone | 8132398069 |
| Practice Fax Number | 8132317324 |
| Mailing Address |
5707 N 22nd St Tampa FL 33610-4350 |
| Mailing Telephone | 8132398069 |
| Mailing Fax Number | 8132317324 |
| Certification Date | 2024-12-06 |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |
| Is Sole Proprietor | Y |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 104100000X | Social Worker |
| Code | 104100000X |
| Taxonomy | Social Worker |
| Classification | Social Worker |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
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|---|---|---|---|
| Jules Momeni Dieuji | 7961 Potter Pl, Elkridge, MD 21075-8229 | Social Worker | 2025-01-11 |
| Porsche Harris | 11901 Toepperwein Rd Ste 1202, Live Oak, TX 78233-3159 | Social Worker | 2025-01-10 |
| Mia Klonowski | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | Social Worker | 2025-01-11 |
| Kelly Margaret Lang | 10150 W National Ave Ste 370, West Allis, WI 53227-2152 | Social Worker | 2025-01-11 |
| Alexa Jo Jessop | 210 Abrecht Pl, Frederick, MD 21701-4918 | Social Worker | 2025-01-10 |
| Britt E. Verstegen, Lmsw | 1200 Highway 60, Socorro, NM 87801-3914 | Social Worker | 2025-01-10 |
| Mackenzie Kate Rondeau | 1 Edgewater Dr, Norwood, MA 02062-4674 | Social Worker | 2025-01-10 |
| Michlene Monique Davis | 90 Madison St Ste 502, Worcester, MA 01608-2058 | Social Worker | 2025-01-11 |
| Johnae Spain | 1515 Indianola Ave, Columbus, OH 43201-2118 | Social Worker | 2025-01-10 |
| Caroline Howland Licsw PLLC | 11 Kent Street, Ste 1, Brookline, MA 02445-8000 | Social Worker | 2025-01-11 |
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| Street Address |
5707 N 22ND ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33610-4350 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kelly Leigh Hammond | 5707 N 22nd St, Tampa, FL 33610-4350 | Mental Health Counselor | 2024-08-28 |
| Andrew Dinanath | 5707 N 22nd St, Tampa, FL 33610-4350 | Case Manager/Care Coordinator | 2023-10-02 |
| Kristina Bartholomew Greene | 5707 N 22nd St, Tampa, FL 33610-4350 | Counselor | 2024-09-27 |
| Rahkia J Millerd | 5707 N 22nd St, Tampa, FL 33610-4350 | Mental Health Counselor | 2023-08-28 |
| Chase Fretto | 5707 N 22nd St, Tampa, FL 33610-4350 | Mental Health Counselor | 2024-06-24 |
| John Christian Probst | 5707 N 22nd St, Tampa, FL 33610-4350 | Case Manager/Care Coordinator | 2024-05-31 |
| Hannah Michaela George | 5707 N 22nd St, Tampa, FL 33610-4350 | Clinical Social Worker | 2024-03-20 |
| Kelsea Michelle Skaggs | 5707 N 22nd St, Tampa, FL 33610-4350 | Case Manager/Care Coordinator | 2024-12-20 |
| Atira Cutler | 5707 N 22nd St, Tampa, FL 33610-4350 | Case Manager/Care Coordinator | 2023-11-10 |
| Tamika Haslam Troublefield | 5707 N 22nd St, Tampa, FL 33610-4350 | Psychiatric/Mental Health Registered Nurse | 2023-12-19 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mental Health Care, Inc · Gracepoint | 2212 A-B E- Henry Ave, Tampa, FL 33610-4350 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2007-05-22 |
| Claudia Sofia Ferreira | Mental Health, Inc. Dba Gracepoint, 5707- N 22nd Street, Tampa, FL 33610-4350 | Community/Behavioral Health Agency | 2021-07-29 |
| Melissa Ann Romig | 5707-N. 22nd Street, Mental Health Care, Inc., Tampa, FL 33610-4350 | Mental Health Counselor | 2007-03-27 |
| Mental Health Care, Inc · Gracepoint | 5707 N. 22nd Street, Tampa, FL 33610-4350 | Case Management Agency | 2005-12-06 |
| Christian Nunez | 5707- N 22nd Street, Mental Health Care, Inc. Dba Gracepoint, Tampa, FL 33610-4350 | Mental Health Counselor | 2016-12-21 |
| Pavan Pancholy | 5707- N. 22nd Street, Mental Health Care, Inc., Tampa, FL 33610-4350 | Psychiatry Physician | 2007-08-01 |
| Jonathan M Brooks | 5705 N 22nd St, Tampa, FL 33610-4350 | Social Worker | 2009-07-14 |
| Gordon Hills III | 5707 N 22ns St., Tampa, FL 33610-4350 | Social Worker | 2017-08-08 |
| Larissa Wnek | Mental Healthcare, Inc. Dba Gracepoint, 5707 - N 22nd Street, Tampa, FL 33610-4350 | Counselor | 2024-10-04 |
| Jessica Gonsalves | 5707-N 22nd Street, Mental Healthcare, Inc. Dba Gracepoint, Tampa, FL 33610-4350 | Social Worker | 2016-09-14 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Olor Imwensi | 2802 Seagrave Ct, Tampa, FL 33610 | Massage Therapist | 2009-10-14 |
| Speedway Plus 2 Car Care Center LLCc · 5 Star Car Care | 8007 Glenoak Rd., Tampa, FL 33610 | Physical Disabilities Residential Treatment Facility | 2017-09-25 |
| Cheryl Fitzpatrick-Hey | 4612 N. 50th Street, Tampa, FL 33610 | Counselor | 2010-08-12 |
| Jonequa Baker | 709 North Castle Court, Tampa, FL 33610 | Homemaker | 2017-08-11 |
| Morissa Kidd | 8062 Deerwood Circle, Tampa, FL 33610 | Other Technician | 2015-08-18 |
| Tampa Family Health Centers, Inc | 3100 E. Fletcher Avenue, Tampa, FL 33610 | Federally Qualified Health Center (FQHC) | 2015-09-04 |
| Mayra Iris Pesante Lopez | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | Behavior Technician | 2019-09-11 |
| Elizabeth Alexandra Vidas | 10150 Highlands Manor Drive, Suite 200, Tampa, FL 33610 | Behavioral Analyst | 2021-05-04 |
| Patricia Ann Lester | 4307 E. Powhatan Ave, Tampa, FL 33610 | Custodial Care Facility | 2014-03-07 |
| Idris Aderoju | 2115 East Hillsborough Avenue, Tampa, FL 33610 | Pharmacist | 2023-01-20 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jennifer Lynn Lynch · Jennifer Shaw Pass | 100 W Burton St, Murfreesboro, TN 37130-3657 | Registered Nurse | 2022-10-06 |
| Virginia Serviss | 1297 Union Ave, Newburgh, NY 12550-1640 | Mental Health Counselor | 2013-04-02 |
| Angela Jeann Serviss | 3800 Coolidge Ave, Oakland, CA 94602-3311 | Marriage & Family Therapist | 2010-02-08 |
| Alisha Danielle Serviss | 2930 Maguire Rd Ste 200, Ocoee, FL 34761-4750 | Behavior Technician | 2023-02-13 |
| Sarah Serviss Klein | 4440 W 95th St, Oak Lawn, IL 60453-2600 | Pediatrics Physician | 2013-06-10 |
| Tiffany Serviss | 97 Bishop Rd, West Babylon, NY 11704-5243 | Specialist | 2012-06-20 |
| Jennifer Maria Castro · Jennifer Lynn Nicholson | 10887 N. Military Trail, Suite 7, Palm Beach Gardens, FL 33410 | Family Nurse Practitioner | 2010-09-20 |
| Timothy Czelusniak Serviss | 159 Glenwood Dr, Saranac Lake, NY 12983-2385 | Addiction (Substance Use Disorder) Counselor | 2022-07-08 |
| Jennifer Marie Vega · Jennifer Violette Hansen | 605 W 4th Ave, Eugene, OR 97402-5022 | Addiction (Substance Use Disorder) Counselor | 2022-07-11 |
| Samantha Serviss | 854 Technology Way, Libertyville, IL 60048-5350 | Behavior Technician | 2022-08-26 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |