Organization Active NPI

Wisdom Wings Inc

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1053600494
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9432 Issued in FL
Legal business name
WISDOM WINGS INC
Practice address
2200 NW Corporate Blvd
Ste 300
Boca Raton, FL 33431
Phone
(561) 703-9892
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Sabrina Braisin, LCSW
Title
Owner
Phone
(561) 703-9893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 9432 FL Primary

Addresses

Primary practice location

2200 NW Corporate Blvd
Ste 300
Boca Raton, FL 33431

Mailing address

3497 Pine Haven Cir
3497 Pine Haven Circle
Boca Raton, FL 33431-5459

National Provider Directory

National Provider Directory

Locations

1900 NW Corporate Blvd
Ste 225W
Boca Raton, FL 33431
Phone (561) 703-9893

160 SW 12th Ave
Ste 106
Deerfield Beach, FL 33442
Phone (516) 701-6200

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1053600494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3497 PINE HAVEN CIR",
            "address_2": "3497 PINE HAVEN CIRCLE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NW CORPORATE BLVD",
            "address_2": "STE 300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-703-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM WINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "BRAISIN",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-703-9893",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "9432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.