St. Petersburg Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12064 Issued in FL

Legal business name

ST. PETERSBURG COUNSELING, LLC

Practice address

3775 Central Ave
Saint Petersburg, FL 33713-8338

Phone

(727) 437-6222

NPI assigned

Oct 7, 2015

Last updated

Oct 7, 2015By 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

Ms. Lisa A. Baker, LCSWNPI 1639580822

Title

President

Phone

(727) 437-6222

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa A Baker, MSW, LCSW

  • Clinical Social Worker
  • St Petersburg, FL
  • NPI 1639580822
  NPD (past) Authorized official

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1164893897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10228 PARADISE BLVD",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337063119",
            "telephone_number": "727-437-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 CENTRAL AVE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337138338",
            "telephone_number": "727-437-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETERSBURG COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-437-6222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Pete Health Associates (B'Wel Chiropractic & Health Associates, Inc.)
• St. Pete Injury Centers, LLC
• St. Pete Physical Therapy
• St. Pete Therapy Center
• St. Petersburg Center for Performance and Weight Loss
• St. Petersburg Dental Implant Center
• St. Petersburg Dermatology, LLC
• St. Petersburg Endoscopy Center LLC
• St. Petersburg Free Clinic
• St. Petersburg General Hospital

• Clinical Social Worker in St Petersburg, FL
• Providers in St Petersburg, 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 Oct 7, 2015; 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.