Joelle Bangsund, LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6636 Issued in FL

Legal business name

JOELLE BANGSUND, LCSW LLC

Practice address

375 E Highway 50
Clermont, FL 34711-2511

Phone

(612) 702-1661

NPI assigned

Oct 6, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Joelle Bangsund, LCSW

Title

Owner/Therapist

Phone

(612) 702-1661

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1265802920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E HIGHWAY 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112511",
            "telephone_number": "612-702-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E HIGHWAY 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112511",
            "telephone_number": "612-702-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOELLE BANGSUND, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "BANGSUND",
        "authorized_official_first_name": "JOELLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "612-702-1661",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Clermont, FL
• Providers in Clermont, 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 Oct 6, 2015; 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.