KALISHA MONIQUE GRADDICK BA
NPI 1649408410
Case Manager/Care Coordinator in Jacksonville, FL

NPI Status: Active since June 30, 2009

Contact Information

4570 SAINT JOHNS AVE
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 389-5231
Fax: (904) 677-8019

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  • Individual
  • Female
  • Case Manager/Care Coordinator

About KALISHA GRADDICK

This page provides the complete NPI Profile along with additional information for Kalisha Graddick, a provider established in Jacksonville, Florida with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1649408410 assigned on June 2009. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1649408410
Provider Name
KALISHA MONIQUE GRADDICK BA
Gender
Female
Entity Type
Individual
Location Address
4570 SAINT JOHNS AVE JACKSONVILLE, FL 32210
Location Phone
(904) 389-5231
Location Fax
(904) 677-8019
Mailing Address
4570 SAINT JOHNS AVE JACKSONVILLE, FL 32210
Mailing Phone
(904) 389-5231
Mailing Fax
(904) 677-8019
Is Sole Proprietor?
No
Enumeration Date
06-30-2009
Last Update Date
06-30-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
License State
FL
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
360358001MEDICAID (05)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649408410
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689801642
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 8 + 0 + 1 + 6 + 4 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1649408410 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

A NEW U INC

Massage Therapist

4570 SAINT JOHNS AVE
SUITE 4
JACKSONVILLE, FL
ZIP 32210

(904) 389-0030

MS. LATOYA DANIELLE HOWARD BA

Social Worker

4570 SAINT JOHNS AVE
SUITE 3
JACKSONVILLE, FL
ZIP 32210

(904) 887-3624

JACKSONVILLE YOUTH SANCTUARY

Social Worker

4570 SAINT JOHNS AVE
SUITE 3
JACKSONVILLE, FL
ZIP 32210

(904) 389-5231

JACKSONVILLE YOUTH SANCTUARY

Case Management

4570 SAINT JOHNS AVE
SUITE 1
JACKSONVILLE, FL
ZIP 32210

(904) 389-5231

MISS NATALIE MARIE KOVISH LMHC

Counselor

(Mental Health)

4570 SAINT JOHNS AVE
JACKSONVILLE, FL
ZIP 32210

(904) 389-4009

TRIAD COUNSELING, INC

Counselor

(Mental Health)

4570 SAINT JOHNS AVE
JACKSONVILLE, FL
ZIP 32210

(904) 389-4009

MS. EMILY ROSE HELLAMS MSW

Social Worker

4570 SAINT JOHNS AVE
JACKSONVILLE, FL
ZIP 32210

(904) 389-5231

MELODY HAYNES

Social Worker

4570 SAINT JOHNS AVE
SUITE 3
JACKSONVILLE, FL
ZIP 32210

(904) 389-5231

STEPHANIE ERWIN

Social Worker

4570 SAINT JOHNS AVE
SUITE 3
JACKSONVILLE, FL
ZIP 32210

(904) 389-5231

SCOTT ELLIOTT BCAP, NCAC II

Counselor

(Addiction (Substance Use Disorder))

4570 SAINT JOHNS AVE
JACKSONVILLE, FL
ZIP 32210

(904) 625-8069

SHERYL JOHNSON LMHC MCAP MAC

Counselor

(Mental Health)

4570 SAINT JOHNS AVE
STE B
JACKSONVILLE, FL
ZIP 32210

(904) 703-8367

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649408410, enumerated as an "individual" on June 30, 2009.

The provider is located at 4570 SAINT JOHNS AVE JACKSONVILLE, FL 32210 and the phone number is (904) 389-5231.

Case Manager/Care Coordinator with taxonomy code 171M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.