OrganizationActive
Jacksonville Youth Sanctuary
NPI 1104054030 · Social Worker · Jacksonville, FL
Provider details
- NPI number
- 1104054030
- Entity type
- Organization
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Danielle Burns, Targeted Case Manager(904) 993-7955
- License
- 171M00000X (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4570 Saint Johns Ave
Suite 3
Jacksonville, FL 32210-1848
Phone: (904) 389-5231
Fax: (904) 677-8019
Street-level locationGet directions
Mailing address
4570 Saint Johns Ave
Jacksonville, FL 32210-1848
Registry dates
- Enumerated
- 2009-06-30
- Last updated
- 2009-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.