Awareness Counseling Center of the Indian River Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6348 Issued in FL

Legal business name

AWARENESS COUNSELING CENTER OF THE INDIAN RIVER INC

Practice address

7766 Bay St
#11
Sebastian, FL 32958-3427

Phone

(772) 589-7008

Fax

(772) 589-7008

NPI assigned

Jul 14, 2007

Last updated

Feb 14, 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. Ganga Mayee Joyce Wasserman, LCSWNPI 1649455957

Title

President/Owner

Phone

(772) 589-7008

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Ganga Mayee Joyce Wasserman, LCSW

  • Clinical Social Worker
  • Sebastian, FL
  • NPI 1649455957
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1265631790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13537 US HIGHWAY 1",
            "address_2": "#137",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583760",
            "telephone_number": "772-589-7008",
            "fax_number": "772-589-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 BAY ST",
            "address_2": "#11",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583427",
            "telephone_number": "772-589-7008",
            "fax_number": "772-589-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWARENESS COUNSELING CENTER OF THE INDIAN RIVER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "GANGA MAYEE",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "772-589-7008",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "Z9500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri Madrid Anderson, PA-C
• Annapurna Institute, Inc.
• Michael Adam Antonis, PA
• Arthur Argenio, D.C.
• Katherine Smyth Atwood, PA-C
• Priscilla M. Bailey, CRNA
• Hilary Jayne Bainbridge, ATC
• Laurie Ann Baker, MLS
• Kelly Ann Barlow, OTR/L
• Ray Barnard, MA

• Clinical Social Worker in Sebastian, FL
• Providers in Sebastian, 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 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.