Walter A. Jack , BA
Case Manager/Care Coordinator • Bradenton, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Walter Jack has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Walter Jack, BA was a registered Case Manager/Care Coordinator practicing in Bradenton, FL. Throughout an active medical career spanning 11 years, Walter Jack provided care at the practice location at 379 6TH AVE W until profile deactivation on 2023-12-13.
Practice Location & Contact Primary Location
379 6th Ave W
Bradenton, FL 342058820
Specialty Benchmarks & Practice Insights
Comparative analytics for Case Manager/Care Coordinator in Bradenton, FL
Practicing in Bradenton, FL (5060 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171M00000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Case Manager/Care Coordinator
Bachelor of Science
Counselor - Mental Health
Licensed Mental Health Counselor
Counselor - Mental Health
Licensed Mental Health Counselor
Counselor - Mental Health
Licensed Mental Health Counselor
Case Manager/Care Coordinator
Bachelor of Science
Counselor - Mental Health
Licensed Mental Health Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 13, 2023
NPI status registered as active in NPPES database
Registered at 379 6TH AVE W, BRADENTON, FL 342058820 (Tel: 9417824100)
Registered at PO BOX 9478, BRADENTON, FL 342069478 (Tel: 9417824299)
Recorded as WALTER JACK, BA
Case Manager/Care Coordinator
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 9478
Bradenton, FL 342069478
Phone: 9417824299
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