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MR. SAMUEL SMALL I
NPI 1568914174
Community/Behavioral Health in Jacksonville, FL

Active since October 30, 2016
3606 JACOB LOIS DR, JACKSONVILLE, FL 32218(904) 483-1870 Get Directions Write a Review

NPPES record last updated: October 30, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Samuel Small I NPPES

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

MR. SAMUEL SMALL I (NPI 1568914174) is an individual community/behavioral health provider in Jacksonville, Florida and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1568914174
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameMR. SAMUEL SMALL I
Location Address3606 JACOB LOIS DRJacksonville, FL 32218-2970
Mailing Address3606 Jacob Lois DrJacksonville, FL 32218-2970
Phone(904) 483-1870
Sole ProprietorYes
Enumeration DateOctober 30, 2016
✔ NPI 1568914174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
3606 JACOB LOIS DR, Jacksonville, FL 32218
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Other Providers at the Same Location NPPES 2

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

MRS. BERNADETTE EVELYENNA FIELDS I M.A.
Social Worker
3606 JACOB LOIS DR
JACKSONVILLE, FL 32218
Duval County (904) 612-1470
PAMELA ROSS
Community/Behavioral Health
3606 JACOB LOIS DR
JACKSONVILLE, FL 32218
Duval County (904) 483-1870

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 Samuel Small's NPI number?

The NPI number for Samuel Small is 1568914174. It was assigned to this individual provider in the NPPES registry on October 30, 2016.

Where is Samuel Small located?

Samuel Small practices at 3606 Jacob Lois Dr, Jacksonville, FL 32218. The listed phone number is (904) 483-1870.

What is Samuel Small's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Samuel Small was last updated on October 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.