Organization Active NPI

Twin Dreams LLC

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1003137456
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8844 Issued in FL
Legal business name
TWIN DREAMS LLC
Practice address
10660 Old Saint Augustine Rd Apt 402
Jacksonville, FL 32257-1057
Phone
(904) 896-0346
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Margery H Runyan, PHD, LCSW
Title
Owneer
Phone
(970) 946-0992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW8844 FL Primary

Addresses

Primary practice location

10660 Old Saint Augustine Rd Apt 402
Jacksonville, FL 32257-1057

Mailing address

10660 Old Saint Augustine Rd Apt 402
Jacksonville, FL 32257-1057
Phone (904) 896-0346

Other identifiers 2

IdentifierTypeStateIssuer
11827750OtherCAQH
001188500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.margeryrunyan.com Direct

National Provider Directory

National Provider Directory

Locations

13960 Stringfellow Rd
Bokeelia, FL 33922
Phone (727) 678-4377

10502 Stringfellow Rd
#5507
Bokeelia, FL 33922

10502 Stringfellow Rd
#5507A
Bokeelia, FL 33922
Phone (239) 283-8196

13960 Stringfellow Rd
Ste 2
Bokeelia, FL 33922
Phone (970) 946-0992

3300 N Butler Ave
Ste 206
Farmington, NM 87401
Phone (505) 327-7472

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1003137456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 OLD SAINT AUGUSTINE RD APT 402",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571057",
            "telephone_number": "904-896-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10660 OLD SAINT AUGUSTINE RD APT 402",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571057",
            "telephone_number": "904-896-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN DREAMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "RUNYAN",
        "authorized_official_first_name": "MARGERY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNEER",
        "authorized_official_telephone_number": "970-946-0992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11827750",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001188500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.margeryrunyan.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "351 Cherry Gulch Rd",
            "city": "Durango",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813016469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.