Patricia Lewis-Slayton, LCSW LMFT. Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW1594 Issued in FL

Legal business name

PATRICIA LEWIS-SLAYTON, LCSW LMFT. INC

Practice address

1100 S Ponce de Leon Blvd Ste 1
St Augustine, FL 32084-6013

Phone

(904) 824-7733

Fax

(904) 829-9768

NPI assigned

Sep 16, 2009

Last updated

Sep 16, 2009By 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. Patricia Lewis-Slayton, LCSW. LMFT

Title

Psychotherapist

Phone

(904) 822-7733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1215260609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 W. LYMINGTON WAY",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32084",
            "telephone_number": "904-824-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S PONCE DE LEON BLVD STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320846013",
            "telephone_number": "904-824-7733",
            "fax_number": "904-829-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA LEWIS-SLAYTON, LCSW LMFT. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "LEWIS-SLAYTON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "904-822-7733",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW. LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.