Organization Active NPI

Florida Institute for Recovery and Sex Therapy

  • Clinical Social Worker
  • Wilton Manors, FL
National Provider Identifier
1114187937
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW1531 Issued in FL
Legal business name
FLORIDA INSTITUTE FOR RECOVERY AND SEX THERAPY
Practice address
2424 Wilton Dr
Wilton Manors, FL 33305-1251
Phone
(954) 563-6563
Fax
(954) 206-1444
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. John A Jamieson, LCSWNPI 1548481294
Title
President
Phone
(954) 463-6563

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW1531 FL Primary

Addresses

Primary practice location

2424 Wilton Dr
Wilton Manors, FL 33305-1251

Mailing address

PO Box 70747
Fort Lauderdale, FL 33307-0747
Phone (954) 463-6563

National Provider Directory

National Provider Directory

Locations

2424 Wilton Dr
Wilton Manors, FL 33305
Phone (954) 463-6563

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": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1114187937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70747",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333070747",
            "telephone_number": "954-463-6563",
            "fax_number": "954-206-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 WILTON DR",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051251",
            "telephone_number": "954-563-6563",
            "fax_number": "954-206-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INSTITUTE FOR RECOVERY AND SEX THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "JAMIESON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-463-6563",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.