1. Home
  2. Directory
  3. Florida
  4. Palm Bay
  5. Social Worker
  6. NPI Profile

JEAN ELYSE DIEVENDORF
NPI 1184173981
Social Worker in Palm Bay, FL

Active since September 22, 2016PECOS EnrolledAccepts Medicare Assignment
6050 BABCOCK ST SE STE 32, PALM BAY, FL 32909(321) 684-8265 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 8, 2022, Nov 26, 2019, Sep 22, 2016 (3 updates tracked since 2016).

About Jean Elyse Dievendorf NPPES

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

JEAN ELYSE DIEVENDORF (NPI 1184173981) is an individual social worker in Palm Bay, Florida and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1184173981
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJEAN ELYSE DIEVENDORF
Location Address6050 BABCOCK ST SE STE 32Palm Bay, FL 32909-4205
Mailing Address2257 Whiteside Ave SePalm Bay, FL 32909-6044 · (321) 405-2583
Phone(321) 684-8265
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 22, 2016
Last NPPES UpdateFebruary 14, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
✔ NPI 1184173981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License SW16874 (FL)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW16874 (FL)
6050 BABCOCK ST SE STE 32, Palm Bay, FL 32909
Open in Google Maps ↗

Other Names 1

Former Name (1)Jean Elyse Gautreaux

Secondary Practice Locations 3

Location 14630 Lipscomb St NE Ste 1APalm Bay, FL 32905-2940 · Phone (321) 405-2583
Location 22475 Palm Bay Rd NE, Suite 130 #4Palm Bay, FL 32905 · Phone (321) 405-2583
Location 31127 S Patrick DrSatellite Beach, FL 32937-3939 · Phone (321) 773-1111 · Fax (321) 773-1692

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jean Elyse Dievendorf is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860822558
PECOS Enrollment IDI20200421000920
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jean Dievendorf's NPI number?

The NPI number for Jean Dievendorf is 1184173981. It was assigned to this individual provider in the NPPES registry on September 22, 2016. The provider is also known as Jean Elyse Gautreaux.

Where is Jean Dievendorf located?

Jean Dievendorf practices at 6050 Babcock St SE Ste 32, Palm Bay, FL 32909. The listed phone number is (321) 684-8265.

What is Jean Dievendorf's specialty?

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

Is Jean Dievendorf enrolled in Medicare?

Yes. Jean Dievendorf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jean Dievendorf accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jean Dievendorf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jean Dievendorf was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.