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CHARLENE VANDIVER
NPI 1801280763
Social Worker - Clinical in Jacksonville, FL

Active since March 27, 2015
3361 SARA DR, JACKSONVILLE, FL 32277(904) 742-0826 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charlene Vandiver NPPES

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

CHARLENE VANDIVER (NPI 1801280763) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW15684) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1801280763
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHARLENE VANDIVER
Location Address3361 SARA DRJacksonville, FL 32277-2525
Mailing Address6999-02 Merrill Rd, #206Jacksonville, FL 32277-2525 · (904) 742-0826
Phone(904) 742-0826
Sole ProprietorYes
Enumeration DateMarch 27, 2015
Last NPPES UpdateJuly 29, 2022
NPPES CertifiedJuly 18, 2022
✔ NPI 1801280763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in FL · SW15684✔ Licensed in FL · 9222
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.
3361 SARA DR, Jacksonville, FL 32277
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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 Charlene Vandiver's NPI number?

The NPI number for Charlene Vandiver is 1801280763. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is Charlene Vandiver located?

Charlene Vandiver practices at 3361 Sara Dr, Jacksonville, FL 32277. The listed phone number is (904) 742-0826.

What is Charlene Vandiver'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 Charlene Vandiver was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.