Organization Active NPI

Journey Bravely

  • Clinical Social Worker
  • Santa Rosa Beach, FL
National Provider Identifier
1184180747
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOURNEY BRAVELY
Practice address
301 Wayne TRL
Santa Rosa Beach, FL 32459-5043
Phone
(918) 237-9874
NPI assigned
Feb 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Mrs. Stephenie Renee Craig, LCSW
Title
Owner/Clinical Social Worker
Phone
(918) 237-9874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

301 Wayne TRL
Santa Rosa Beach, FL 32459-5043

Mailing address

301 Wayne TRL
Santa Rosa Beach, FL 32459-5043
Phone (918) 237-9874

National Provider Directory

National Provider Directory

Locations

1201 E 33rd St
Ste C
Tulsa, OK 74105
Phone (918) 221-9987

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1184180747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WAYNE TRL",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595043",
            "telephone_number": "918-237-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WAYNE TRL",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595043",
            "telephone_number": "918-237-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY BRAVELY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "STEPHENIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "918-237-9874",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "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 Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.