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PHOENIX THERAPEUTIC SERVICES, INC
NPI 1336641265
Social Worker - Clinical in Jacksonville, FL

Active since March 07, 2018
12245 GEHRIG DR, JACKSONVILLE, FL 32224(904) 662-0126 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 9, 2019, Apr 26, 2019, Mar 7, 2018 (3 updates tracked since 2018).

About Phoenix Therapeutic Services, Inc NPPES

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

PHOENIX THERAPEUTIC SERVICES, INC (NPI 1336641265) is a healthcare organization registered as a clinical in Jacksonville, Florida and active in the NPI registry since March 2018. The organization lists Lindsey Dawn Chapman, Owner, as its authorized official.

NPPES Registry Identity

NPI1336641265
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePHOENIX THERAPEUTIC SERVICES, INC
Location Address12245 GEHRIG DRJacksonville, FL 32224-4630
Mailing Address12245 Gehrig DrJacksonville, FL 32224-4630 · (904) 662-0126
Phone(904) 662-0126
Organization SubpartNo
Authorized OfficialLindsey Dawn ChapmanOwner · (904) 662-0126
Enumeration DateMarch 7, 2018
Last NPPES UpdateAugust 9, 20193 updates tracked since enumeration
✔ NPI 1336641265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · ISW14849
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.
12245 GEHRIG DR, Jacksonville, FL 32224
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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

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 Phoenix Therapeutic Services, Inc's NPI number?

The NPI number for Phoenix Therapeutic Services, Inc is 1336641265. It was assigned to this organization in the NPPES registry on March 7, 2018.

Where is Phoenix Therapeutic Services, Inc located?

Phoenix Therapeutic Services, Inc is located at 12245 Gehrig Dr, Jacksonville, FL 32224. The listed phone number is (904) 662-0126.

What is Phoenix Therapeutic Services, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Phoenix Therapeutic Services, Inc was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.