JACKSONVILLE YOUTH SANCTUARY
NPI 1104054030
Social Worker in Jacksonville, FL

Q: What is Jacksonville Youth Sanctuary's NPI number?

The NPI number for Jacksonville Youth Sanctuary is 1104054030. It was assigned to this organization in the NPPES registry on June 30, 2009.

Q: What is Jacksonville Youth Sanctuary's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since June 30, 2009

4570 SAINT JOHNS AVE, SUITE 3, JACKSONVILLE, FL 32210(904) 389-5231(904) 677-8019 Get Directions Write a Review

NPPES record last updated: July 7, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacksonville Youth Sanctuary NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSONVILLE YOUTH SANCTUARY (NPI 1104054030) is a healthcare organization registered as a social worker in Jacksonville, Florida and active in the NPI registry since June 2009. The organization lists Danielle Marie Burns, Targeted Case Manager, as its authorized official.

NPPES Registry Identity

NPI1104054030

Entity TypeOrganization

Primary Taxonomy104100000X

Legal Business NameJACKSONVILLE YOUTH SANCTUARY

Location Address4570 SAINT JOHNS AVE, SUITE 3Jacksonville, FL 32210-1848

Mailing Address4570 Saint Johns Ave, Suite 3Jacksonville, FL 32210-1848 · (904) 389-5231 · Fax (904) 677-8019

Phone(904) 389-5231

Fax(904) 677-8019

Organization SubpartNo

Authorized OfficialDanielle Marie BurnsTargeted Case Manager · (904) 993-7955

Enumeration DateJune 30, 2009

Last NPPES UpdateJuly 7, 2009

✔ NPI 1104054030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in FL · 171M00000X

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.

4570 SAINT JOHNS AVE, Jacksonville, FL 32210

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Other Identifiers 1

Medicaid360358001FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. EMILY ROSE HELLAMS MSW

Social Worker

4570 SAINT JOHNS AVE
JACKSONVILLE, FL 32210

Duval County (904) 389-5231

MELODY HAYNES

Social Worker

4570 SAINT JOHNS AVE, SUITE 3
JACKSONVILLE, FL 32210

Duval County (904) 389-5231

SHERYL JOHNSON LMHC MCAP MAC

Counselor (Mental Health)

4570 SAINT JOHNS AVE, STE B
JACKSONVILLE, FL 32210

Duval County (904) 703-8367

JACKSONVILLE YOUTH SANCTUARY

Case Management

4570 SAINT JOHNS AVE, SUITE 1
JACKSONVILLE, FL 32210

Duval County (904) 389-5231

MISS NATALIE MARIE KOVISH LMHC

Counselor (Mental Health)

4570 SAINT JOHNS AVE
JACKSONVILLE, FL 32210

Duval County (904) 389-4009

TRIAD COUNSELING, INC

Counselor (Mental Health)

4570 SAINT JOHNS AVE
JACKSONVILLE, FL 32210

Duval County (904) 389-4009

KALISHA MONIQUE GRADDICK BA

Case Manager/Care Coordinator

4570 SAINT JOHNS AVE
JACKSONVILLE, FL 32210

Duval County (904) 389-5231

MS. LATOYA DANIELLE HOWARD BA

Social Worker

4570 SAINT JOHNS AVE, SUITE 3
JACKSONVILLE, FL 32210

Duval County (904) 887-3624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacksonville Youth Sanctuary's NPI number?

The NPI number for Jacksonville Youth Sanctuary is 1104054030. It was assigned to this organization in the NPPES registry on June 30, 2009.

Where is Jacksonville Youth Sanctuary located?

Jacksonville Youth Sanctuary is located at 4570 Saint Johns Ave Suite 3, Jacksonville, FL 32210. The listed phone number is (904) 389-5231.

What is Jacksonville Youth Sanctuary's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jacksonville Youth Sanctuary was last updated on July 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.