SOCIAL WORK CEO, LLC
NPI 1235825092
Social Worker - Clinical in Jacksonville, FL

Q: What is Social Work Ceo, LLC's NPI number?

The NPI number for Social Work Ceo, LLC is 1235825092. It was assigned to this organization in the NPPES registry on April 14, 2023.

Q: What is Social Work Ceo, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since April 14, 2023

5663 GREENLAND RD, JACKSONVILLE, FL 32258(904) 302-9355(844) 528-1420 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2025, Apr 14, 2023 (2 updates tracked since 2023).

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About Social Work Ceo, Llc NPPES

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

SOCIAL WORK CEO, LLC (NPI 1235825092) is a healthcare organization registered as a clinical in Jacksonville, Florida and active in the NPI registry since April 2023. The organization lists Natonia S Davis, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1235825092

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameSOCIAL WORK CEO, LLC

Location Address5663 GREENLAND RDJacksonville, FL 32258-3329

Mailing Address6501 Arlington Expy Ste B105Jacksonville, FL 32211-0810 · (904) 302-9355 · Fax (844) 528-1420

Phone(904) 302-9355

Fax(844) 528-1420

Organization SubpartNo

Authorized OfficialNatonia S DavisOwner/provider · (813) 760-5810

Enumeration DateApril 14, 2023

Last NPPES UpdateApril 23, 20252 updates tracked since enumeration

NPPES CertifiedApril 23, 2025

✔ NPI 1235825092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

5663 GREENLAND RD, Jacksonville, FL 32258

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Other Identifiers 2

Medicaid003320020AGA

Medicaid121420800FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Social Work Ceo, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Social Work Ceo, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Natonia Davis, LCSW, MBA

Clinical Social Worker

NPI 1154645240

5663 GREENLAND RD
Jacksonville, FL 32258

(904) 302-9355

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Social Work Ceo, LLC's NPI number?

The NPI number for Social Work Ceo, LLC is 1235825092. It was assigned to this organization in the NPPES registry on April 14, 2023.

Where is Social Work Ceo, LLC located?

Social Work Ceo, LLC is located at 5663 Greenland Rd, Jacksonville, FL 32258. The listed phone number is (904) 302-9355.

What is Social Work Ceo, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Social Work Ceo, LLC enrolled in Medicare?

Yes. Social Work Ceo, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Social Work Ceo, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Social Work Ceo, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Social Work Ceo, LLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.