Active NPI
Ocean Blue Counseling Group
- Clinical Social Worker
- Fort Lauderdale, FL
National Provider Identifier
1013461870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW12863
- Legal business name
- OCEAN BLUE COUNSELING GROUP
- Practice address
- 2300 E Oakland Park Blvd
Suite 204
Fort Lauderdale, FL 33306-1100 - Phone
- (724) 799-1761
- NPI assigned
- Aug 10, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Shuty
- Title
- Ceo
- Phone
- (724) 799-1761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW12863 | FL | Primary |
Addresses
Primary practice location
2300 E Oakland Park Blvd
Suite 204
Fort Lauderdale, FL 33306-1100
Mailing address
2300 E Oakland Park Blvd
Suite 204
Fort Lauderdale, FL 33306-1100
Phone (724) 799-1761
National Provider Directory
National Provider DirectoryLocations
2300 E Oakland Park Blvd
Ste 204
Fort Lauderdale, FL 33306
Phone (724) 799-1761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470787200000",
"number": "1013461870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 E OAKLAND PARK BLVD",
"address_2": "SUITE 204",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061100",
"telephone_number": "724-799-1761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 E OAKLAND PARK BLVD",
"address_2": "SUITE 204",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061100",
"telephone_number": "724-799-1761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN BLUE COUNSELING GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-10",
"last_updated": "2016-08-10",
"status": "A",
"authorized_official_last_name": "SHUTY",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "724-799-1761"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW12863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.