Organization Active NPI

Children's Advocacy Center of Southwest Florida

  • Community/Behavioral Health Agency
  • Fort Myers, FL
National Provider Identifier
1245666445
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHILDREN'S ADVOCACY CENTER OF SOUTHWEST FLORIDA
Practice address
3830 Evans Ave
Fort Myers, FL 33901-9305
Phone
(239) 939-2808
Fax
(239) 939-4794
NPI assigned
Sep 19, 2013
Last updated
Sep 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Megan Karin Goddard, MSW
Title
Therapist
Phone
(239) 939-2808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3830 Evans Ave
Fort Myers, FL 33901-9305

Mailing address

3830 Evans Ave
Fort Myers, FL 33901-9305
Phone (239) 939-2808

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1245666445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019305",
            "telephone_number": "239-939-2808",
            "fax_number": "239-939-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019305",
            "telephone_number": "239-939-2808",
            "fax_number": "239-939-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S ADVOCACY CENTER OF SOUTHWEST FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "KARIN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "239-939-2808",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.