MARYAM ARCHER MSW
NPI 1427639046
Social Worker - Clinical in Jacksonville, FL

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment
820 PRUDENTIAL DR STE 510, JACKSONVILLE, FL 32207(904) 376-3800 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 29, 2024, Apr 15, 2021 (2 updates tracked since 2021).

About Maryam Archer Msw NPPES

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

MARYAM ARCHER MSW (NPI 1427639046) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW21728) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1427639046
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARYAM ARCHERCredential: MSW
Location Address820 PRUDENTIAL DR STE 510Jacksonville, FL 32207-8207
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 15, 2021
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
NPI 1427639046 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 · SW21728
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.

820 PRUDENTIAL DR STE 510, Jacksonville, FL 32207

Accepted 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

Maryam Archer Msw 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 ID6901256106
PECOS Enrollment IDI20240102000008
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

Social Worker (Clinical)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Counselor (Mental Health)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Psychiatry & Neurology (Psychiatry)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Counselor (Mental Health)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Psychiatry & Neurology (Psychiatry)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Social Worker (Clinical)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Marriage & Family Therapist
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Counselor (Mental Health)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427639046, enumerated as an "individual" on April 15, 2021.

The provider is located at 820 PRUDENTIAL DR STE 510 JACKSONVILLE, FL 32207 and the phone number is (904) 376-3800.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.