Organization Active NPI

June G. Harding LCSW Inc

  • Clinical Social Worker
  • Ponte Vedra Beach, FL
National Provider Identifier
1104338243
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4210 Issued in FL
Legal business name
JUNE G. HARDING LCSW INC
Practice address
100 Executive Way Ste 113
Ponte Vedra Beach, FL 32082-2714
Phone
(904) 859-5288
Fax
(772) 934-7325
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Mrs. June G. Harding, L.C.S.W.
Title
Owner
Phone
(904) 859-5288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW4210 FL Primary

Addresses

Primary practice location

100 Executive Way Ste 113
Ponte Vedra Beach, FL 32082-2714

Mailing address

100 Executive Way Ste 113
Ponte Vedra Beach, FL 32082-2714
Phone (904) 859-5288

National Provider Directory

National Provider Directory

Locations

100 Executive Way
Ste 113
Ponte Vedra Beach, FL 32082
Phone (904) 273-6747

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1104338243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE WAY STE 113",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822714",
            "telephone_number": "904-859-5288",
            "fax_number": "772-934-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE WAY STE 113",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822714",
            "telephone_number": "904-859-5288",
            "fax_number": "772-934-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNE G. HARDING LCSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-859-5288",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.