Organization Active NPI

SLB, L.L.C.

  • Clinical Social Worker
  • Naples, FL
National Provider Identifier
1023410396
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12189 Issued in FL
Legal business name
SLB, L.L.C.
Doing business as
ADVENTURE THERAPIES
Practice address
5020 Tamiami TRL N
Suite 202
Naples, FL 34103-2807
Phone
(239) 682-3251
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Susan Brenner, LCSW
Title
Ceo/President
Phone
(239) 682-3251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW12189 FL Primary

Addresses

Primary practice location

5020 Tamiami TRL N
Suite 202
Naples, FL 34103-2807

Mailing address

5020 Tamiami TRL N
Suite 202
Naples, FL 34103-2807
Phone (239) 682-3251

Other identifiers 2

IdentifierTypeStateIssuer
HZ217AOtherFLMEDICARE PTAN
H420860OtherOHMEDICARE PTAN

Other names 1

  • ADVENTURE THERAPIES Doing business as

National Provider Directory

National Provider Directory

Locations

5020 Tamiami Trl N
Ste 202
Naples, FL 34103
Phone (239) 260-4387

780 5th Ave S
Ste 200
Naples, FL 34102
Phone (201) 568-8288

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1023410396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 TAMIAMI TRL N",
            "address_2": "SUITE 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032807",
            "telephone_number": "239-682-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 TAMIAMI TRL N",
            "address_2": "SUITE 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032807",
            "telephone_number": "239-682-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLB, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "239-682-3251",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HZ217A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H420860",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTURE THERAPIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.