JACKSONVILLE YOUTH SANCTUARY
NPI 1104054030
Social Worker in Jacksonville, FL

NPI Status: Active since June 30, 2009

Contact Information

4570 SAINT JOHNS AVE
SUITE 3
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 389-5231
Fax: (904) 677-8019

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  • Organization
  • Social Worker

About JACKSONVILLE YOUTH SANCTUARY

This page provides the complete NPI Profile along with additional information for Jacksonville Youth Sanctuary, a provider established in Jacksonville, Florida operating as a Social Worker. The healthcare provider is registered in the NPI registry with number 1104054030 assigned on June 2009. The practitioner's primary taxonomy code is 104100000X with license number 171M00000X (FL). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Miss Danielle Marie Burns Ba (Targeted Case Manager)

NPI
1104054030
Provider Name
JACKSONVILLE YOUTH SANCTUARY
Entity Type
Organization
Location Address
4570 SAINT JOHNS AVE SUITE 3 JACKSONVILLE, FL 32210
Location Phone
(904) 389-5231
Location Fax
(904) 677-8019
Mailing Address
4570 SAINT JOHNS AVE SUITE 3 JACKSONVILLE, FL 32210
Mailing Phone
(904) 389-5231
Mailing Fax
(904) 677-8019
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2009
Last Update Date
07-07-2009
Code Navigator

A social worker like Jacksonville Youth Sanctuary helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
171M00000X
License State
FL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISS DANIELLE MARIE BURNS BA

Authorized Official Title
TARGETED CASE MANAGER
Authorized Official Phone
(904) 993-7955

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
360358001MEDICAID (05)FL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104054030, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 0 + 5 + 8 + 0 + 6 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1104054030.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Massage Therapist
4570 SAINT JOHNS AVE, SUITE 4
JACKSONVILLE, FL 32210
Social Worker
4570 SAINT JOHNS AVE, SUITE 3
JACKSONVILLE, FL 32210
Case Manager/Care Coordinator
4570 SAINT JOHNS AVE
JACKSONVILLE, FL 32210
Case Management
4570 SAINT JOHNS AVE, SUITE 1
JACKSONVILLE, FL 32210
Counselor (Mental Health)
4570 SAINT JOHNS AVE
JACKSONVILLE, FL 32210
Counselor (Mental Health)
4570 SAINT JOHNS AVE
JACKSONVILLE, FL 32210
Social Worker
4570 SAINT JOHNS AVE
JACKSONVILLE, FL 32210
Social Worker
4570 SAINT JOHNS AVE, SUITE 3
JACKSONVILLE, FL 32210
Social Worker
4570 SAINT JOHNS AVE, SUITE 3
JACKSONVILLE, FL 32210
Counselor (Addiction (Substance Use Disorder))
4570 SAINT JOHNS AVE
JACKSONVILLE, FL 32210
Counselor (Mental Health)
4570 SAINT JOHNS AVE, STE B
JACKSONVILLE, FL 32210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104054030, enumerated as an "organization" on June 30, 2009.

The provider is located at 4570 SAINT JOHNS AVE SUITE 3 JACKSONVILLE, FL 32210 and the phone number is (904) 389-5231.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.