Active NPI
Paradigm Counseling Associates LLC
- Clinical Social Worker
- Plantation, FL
National Provider Identifier
1114646437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PARADIGM COUNSELING ASSOCIATES LLC
- Practice address
- 861 NW 72ND Ave
Plantation, FL 33317-1129 - Phone
- (954) 559-6093
- Fax
- (239) 330-7028
- NPI assigned
- Aug 22, 2022
- 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
- Jerjuan Toles, BSHSM, MSHA
- Title
- Credentialer
- Phone
- (754) 270-6322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
861 NW 72ND Ave
Plantation, FL 33317-1129
Mailing address
861 NW 72ND Ave
Plantation, FL 33317-1129
Phone (954) 559-6093
National Provider Directory
National Provider DirectoryPractitioners & 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
- Deerfield Beach, FL
- NPI 1912510702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661126400000",
"number": "1114646437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "861 NW 72ND AVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333171129",
"telephone_number": "954-559-6093",
"fax_number": "239-330-7028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "861 NW 72ND AVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333171129",
"telephone_number": "954-559-6093",
"fax_number": "239-330-7028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADIGM COUNSELING ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A",
"authorized_official_last_name": "TOLES",
"authorized_official_first_name": "JERJUAN",
"authorized_official_title_or_position": "CREDENTIALER",
"authorized_official_telephone_number": "754-270-6322",
"authorized_official_credential": "BSHSM, MSHA"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.