Active NPI
Florida Institute for Recovery and Sex Therapy
- Clinical Social Worker
- Wilton Manors, FL
National Provider Identifier
1114187937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW1531
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John A Jamieson, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Fort Lauderdale, FL
- NPI 1548481294
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
- Felice Fusca LCSW LLC
- Ferdinand Cabrera MD PA
- Arielvys Fernandez Febles, RDH
- Robert John Ferraiuolo, LMHC
- Shane A Fisher, DDS
- Florida Institute of Health LTD LLLP
- Fort Lauderdale Couples, Family & Individual Therapy
- Fort Lauderdale Couples, Family and Individual Therapy, LLC
- Fort Lauderdale Medical Surgical Associates., Inc.
- James Foster, ARNP
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.