Family Life Today, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW0003338 Issued in FL

Legal business name

FAMILY LIFE TODAY, INC

Practice address

1000 Belcher Rd S
Suite 7
Largo, FL 33771-3321

Phone

(727) 532-8220

Fax

(727) 524-8608

NPI assigned

May 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Joan Marilyn Van Wingerden, LCSW

Title

Chief Executive Officer

Phone

(727) 532-8220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134335458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BELCHER RD S",
            "address_2": "SUITE 7",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713321",
            "telephone_number": "727-532-8220",
            "fax_number": "727-524-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BELCHER RD S",
            "address_2": "SUITE 7",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713321",
            "telephone_number": "727-532-8220",
            "fax_number": "727-524-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LIFE TODAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN WINGERDEN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MARILYN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "727-532-8220",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0003338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Largo, FL
• Providers in Largo, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.