Center for Dynamic Well Being Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7630 Issued in FL

Legal business name

CENTER FOR DYNAMIC WELL BEING INC

Practice address

7700 Congress Ave
1131
Boca Raton, FL 33487-1352

Phone

(561) 826-1901

Fax

(561) 826-1902

NPI assigned

Aug 31, 2006

Last updated

Feb 22, 2008By 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. Linda Beth Gaines, LCSW

Title

President

Phone

(561) 826-1901

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1245341064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 CONGRESS AVE",
            "address_2": "1131",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871352",
            "telephone_number": "561-826-1901",
            "fax_number": "561-826-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CONGRESS AVE",
            "address_2": "1131",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871352",
            "telephone_number": "561-826-1901",
            "fax_number": "561-826-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DYNAMIC WELL BEING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-826-1901",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole C Centofanti, PHARMD

• Clinical Social Worker in Boca Raton, FL
• Providers in Boca Raton, 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 Feb 22, 2008; 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.