NPIMap

Organization Active NPI

Heal the Trauma

  • Clinical Social Worker
  • Jupiter, FL
National Provider Identifier
1033920442
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEAL THE TRAUMA
Practice address
16764 121St Ter N
Jupiter, FL 33478-6006
Phone
(561) 909-7011
NPI assigned
Jan 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Minerva Melody King, LCSWNPI 1336441401
Title
Manager
Phone
(561) 909-7011

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 Primary

Addresses

Primary practice location

16764 121St Ter N
Jupiter, FL 33478-6006

Mailing address

16764 121St Ter N
Jupiter, FL 33478-6006
Phone (561) 909-7011

National Provider Directory

National Provider Directory

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": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1033920442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16764 121ST TER N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334786006",
            "telephone_number": "561-909-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16764 121ST TER N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334786006",
            "telephone_number": "561-909-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL THE TRAUMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MINERVA",
        "authorized_official_middle_name": "MELODY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-909-7011",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.