Organization Active NPI

Behavioral Health Services LCSW LLC

  • Clinical Social Worker
  • Naples, FL
National Provider Identifier
1083865117
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5602 Issued in FL
Legal business name
BEHAVIORAL HEALTH SERVICES LCSW LLC
Practice address
1415 Panther LN
Unit 142
Naples, FL 34109-7874
Phone
(239) 810-3998
Fax
(239) 236-1215
NPI assigned
Oct 7, 2008
Last updated
Aug 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Kathy A Fratrick, LCSW
Title
Manager
Phone
(239) 810-3998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW5602 FL Primary

Addresses

Primary practice location

1415 Panther LN
Unit 142
Naples, FL 34109-7874

Mailing address

16520 S Tamiami TRL
Unit 138 PMB 187
Fort Myers, FL 33908-4569
Phone (239) 810-3998

National Provider Directory

National Provider Directory

Locations

16520 S Tamiami Trl
Ste 138
Fort Myers, FL 33908

1415 Panther Ln
#142
Naples, FL 34109
Phone (239) 293-0230

1415 Panther Ln
Unit 142
Naples, FL 34109
Phone (239) 810-3998

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1083865117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16520 S TAMIAMI TRL",
            "address_2": "UNIT 138 PMB 187",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084569",
            "telephone_number": "239-810-3998",
            "fax_number": "239-236-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PANTHER LN",
            "address_2": "UNIT 142",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097874",
            "telephone_number": "239-810-3998",
            "fax_number": "239-236-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SERVICES LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "FRATRICK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-810-3998",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 1, 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.