Individual provider · NPI-1

Jessica Avila

Social Worker, Clinical · Plantation, FL

NPI number1285906685
StatusActive
Last updated in NPPESOct 29, 2026

Details

NPI
1285906685
Entity type
Individual (NPI-1)
Name
Jessica Avila
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 31, 2012
Certification date
Jan 3, 2022
Last updated
Oct 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical121013MAYes
171M00000X Case Manager/Care Coordinator––

Practice location

7027 W Broward Blvd
Unit #3227
Plantation, FL 33317

Phone 781-527-1664

Mailing address

7027 W Broward Blvd
Unit #3227
Plantation, FL 33317

Phone 781-527-1664

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Social Worker, Clinical providers in Plantation, FL