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DR. JIM BRANCH PH.D.
NPI 1629127345
Social Worker - Clinical in Port Orange, FL

Active since January 10, 2007
4319 S RIDGEWOOD AVE, PORT ORANGE, FL 32127(386) 451-5126(386) 756-7518 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jim Branch Ph.d. NPPES

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

DR. JIM BRANCH PH.D. (NPI 1629127345) is an individual clinical provider in Port Orange, Florida, licensed in Florida (SW0607) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1629127345
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. JIM BRANCHCredential: PH.D.
Location Address4319 S RIDGEWOOD AVEPort Orange, FL 32127-4522
Mailing Address4319 S Ridgewood AvePort Orange, FL 32127-4522 · (386) 451-5126 · Fax (386) 756-7518
Phone(386) 451-5126
Fax(386) 756-7518
Sole ProprietorYes
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629127345 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 · SW0607
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.
4319 S RIDGEWOOD AVE, Port Orange, FL 32127
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Other Identifiers 1

Medicare ID-Type UnspecifiedZ1039AFL · Medicare

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.

DR. EMILIO A YONTA PHD
Social Worker (Clinical)
4319 S RIDGEWOOD AVE
PORT ORANGE, FL 32127
Volusia County (386) 756-2405
PAMELA D. BRATTON, PH.D., P.A.
Psychologist
4319 S RIDGEWOOD AVE
PORT ORANGE, FL 32127
Volusia County (386) 788-2687

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 Jim Branch's NPI number?

The NPI number for Jim Branch is 1629127345. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Jim Branch located?

Jim Branch practices at 4319 S Ridgewood Ave, Port Orange, FL 32127. The listed phone number is (386) 451-5126.

What is Jim Branch'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 Jim Branch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.