Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477984995 Individual Practitioner Female Practitioner

Irisdane Jimenez , MSW

Social Worker • Daytona Beach, FL

Professional Overview & Biography Verified Profile Summary

Irisdane Jimenez, MSW is a registered healthcare professional specializing in Social Worker in Daytona Beach, FL. Practice services are available at 1176 PELICAN BAY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1176 Pelican Bay Dr

Daytona Beach, FL 321191381

Telephone 3868681992
Fax 3868681978
Associated Practice Facility / Clinic
🏢 A Helping Hand Inc Facility NPI 1578853370

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
65 Specialists

Practicing in Daytona Beach, FL (5606 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-16
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
NPI 1003214339
Stephen Odu

Counselor - Mental Health

NPI 1023446721
Tracy Long , RN, BSN

Registered Nurse - Psychiatric/Mental Health, Child & Adolescent

NPI 1023596657

Registered Nurse, Bachelor of Science in Nursing

Julie Schoonover , BS

Case Manager/Care Coordinator

NPI 1043351828

Bachelor of Science

NPI 1063769974

Master of Science

Kohei Mochizuki , LMHC

Counselor - Mental Health

NPI 1093038499

Licensed Mental Health Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location August 16, 2021

Registered at 1176 PELICAN BAY DR, DAYTONA BEACH, FL 321191381 (Tel: 3868681992)

📍
Updated Business Mailing Address August 16, 2021

Registered at 56 KALAMAZOO TRL, PALM COAST, FL 321645622 (Tel: 5083179371)

👤
Provider Name / Credentials Updated August 16, 2021

Recorded as IRISDANE JIMENEZ, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2021

Social Worker

NPI Profile Active December 09, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2013

Registered at 548 PARK AVE STE B, WORCESTER, MA 016032537 (Tel: 7748231500)

📍
Updated Business Mailing Address December 09, 2013

Registered at 548 PARK AVE STE B, WORCESTER, MA 016032537 (Tel: 7748231500)

👤
Provider Name / Credentials Updated December 09, 2013

Recorded as IRISDANE KIROUAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2013

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 09, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477984995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2013
Last Update: August 16, 2021
Sole Proprietor: Yes

Mailing Address

56 Kalamazoo Trl

Palm Coast, FL 321645622

Phone: 5083179371

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.