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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER CHRISTINE PHUONG LCSW
NPI 1568221091
Social Worker - Clinical in Jacksonville, FL

Active since March 18, 2024PECOS Enrolled
3733 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217(904) 990-7117 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jennifer Christine Phuong Lcsw NPPES

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

JENNIFER CHRISTINE PHUONG LCSW (NPI 1568221091) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW21599) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1568221091
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER CHRISTINE PHUONGCredential: LCSW
Location Address3733 UNIVERSITY BLVD WJacksonville, FL 32217-2109
Mailing Address3733 University Blvd WJacksonville, FL 32217-2109 · (904) 990-7111
Phone(904) 990-7117
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 18, 2024
Last NPPES UpdateOctober 28, 2026
NPPES CertifiedOctober 28, 2026
✔ NPI 1568221091 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 · SW21599
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.
3733 UNIVERSITY BLVD W, Jacksonville, FL 32217
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Christine Phuong Lcsw 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 ID9537658760
PECOS Enrollment IDI20251029000468
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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Phuong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Authentic Self Counseling Of Jacksonville, LLC
2.3 mi
Mental Health
7235 BENTLEY RD STE 308
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
NPI 1407400591 (904) 990-7117

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32217 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 4

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

MRS. AISHA GORDON LCSW
Social Worker (Clinical)
3733 UNIVERSITY BLVD W, SUITE 212G
JACKSONVILLE, FL 32217
Duval County (904) 343-5008
ANDREA DEMKO
Counselor (Mental Health)
3733 UNIVERSITY BLVD W
JACKSONVILLE, FL 32217
Duval County (717) 514-5223
PATRICIA A HARRISON INC.
Speech-Language Pathologist
3733 UNIVERSITY BLVD W, SUITE 208
JACKSONVILLE, FL 32217
Duval County (904) 386-4990
JERRY R. VALENTE PH.D., J.D.
Psychologist
3733 UNIVERSITY BLVD W, SUITE 208
JACKSONVILLE, FL 32217
Duval County (904) 733-1865

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 Jennifer Phuong's NPI number?

The NPI number for Jennifer Phuong is 1568221091. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Jennifer Phuong located?

Jennifer Phuong practices at 3733 University Blvd W, Jacksonville, FL 32217. The listed phone number is (904) 990-7117.

What is Jennifer Phuong's specialty?

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

Is Jennifer Phuong enrolled in Medicare?

Yes. Jennifer Phuong 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.

Which organization bills Medicare for Jennifer Phuong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Phuong reassigns Medicare benefits to Authentic Self Counseling Of Jacksonville, LLC (Jacksonville, FL). The 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 Jennifer Phuong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Phuong 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 Jennifer Phuong 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 Jennifer Phuong was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.