Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962801266 Individual Practitioner Female Practitioner

Jerusha Elisse Hull , LCSW

Social Worker - Clinical • Eglin Afb, FL

Professional Overview & Biography Verified Profile Summary

Jerusha Hull, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Eglin Afb, FL. Practice services are available at 307 BOATNER RD STE 114 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Telephone 8508838149

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Eglin Afb, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
39 Specialists

Practicing in Eglin Afb, FL (13861 Statewide)

Telehealth Adoption Rate
2.6% 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

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License TX 54787

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License DC LC50080654

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License VA 0904008947

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Lucas Petkewitz , DPT

Physical Therapist

NPI 1003228057

Doctor of Physical Therapy

James Saxton

Anesthesiology

NPI 1003435538
Dr. Boden Port , DO

General Practice

NPI 1003519919

Doctor of Osteopathic Medicine (D.O.)

NPI 1013087873

Doctor of Osteopathic Medicine (D.O.)

Dr. Anjeli Pope , MD

Internal Medicine

NPI 1013199181

Doctor of Medicine (M.D.)

Dr. Eric Weiss , MD

General Practice

NPI 1013370444

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active April 11, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address April 11, 2017

Registered at 3213 12TH ST. NE #101, WASHINGTON, DC 20017 (Tel: 2547168993)

📍
Updated Practice Location April 11, 2017

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838149)

👤
Provider Name / Credentials Updated April 11, 2017

Recorded as JERUSHA HULL, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2017

Social Worker (License #LC50080654 in DC)

NPI Profile Active August 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2014

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838149)

📍
Updated Business Mailing Address August 22, 2014

Registered at 310 KEPNER DR NE, FORT WALTON BEACH, FL 325485110 (Tel: 2547168993)

👤
Provider Name / Credentials Updated August 22, 2014

Recorded as JERUSA BROWN, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2014

Social Worker (License #54787 in TX)

🟢
Initial NPI Registration & Enumeration August 22, 2014

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: 1962801266
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2014
Last Update: April 11, 2017
Sole Proprietor: Yes

Mailing Address

3213 12th St. Ne #101

Washington, DC 20017

Phone: 2547168993

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.