Organization Active NPI

Epic Behavioral Solutions

  • Clinical Social Worker
  • Clermont, FL
National Provider Identifier
1003360199
Registry record updated Aug 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9511 Issued in FL
Legal business name
EPIC BEHAVIORAL SOLUTIONS
Practice address
1060 W Highway 50 Ste 212
Clermont, FL 34711-2835
Phone
(352) 325-3603
NPI assigned
Aug 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2016

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

Authorized official

Name
Mrs. Shaleena Lott, M.S.NPI 1376097451
Title
President
Phone
(352) 325-3603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW9511 FL Primary

Addresses

Primary practice location

1060 W Highway 50 Ste 212
Clermont, FL 34711-2835

Mailing address

1060 W Highway 50 Ste 212
Clermont, FL 34711-2835
Phone (352) 321-7331

National Provider Directory

National Provider Directory

Locations

1060 W Highway 50
Ste 212
Clermont, FL 34711
Phone (352) 325-3603

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": "1470528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470528000000",
    "number": "1003360199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 W HIGHWAY 50 STE 212",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112835",
            "telephone_number": "352-321-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W HIGHWAY 50 STE 212",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112835",
            "telephone_number": "352-325-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC BEHAVIORAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-07",
        "last_updated": "2016-08-07",
        "status": "A",
        "authorized_official_last_name": "LOTT",
        "authorized_official_first_name": "SHALEENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-325-3603",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2016; 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.