A Brevard Center for Family Counseling, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5956 Issued in FL

Legal business name

A BREVARD CENTER FOR FAMILY COUNSELING, INC.

Practice address

1019 Harvin Way
Suite 110
Rockledge, FL 32955-3286

Phone

(321) 631-6300

Fax

(321) 631-4400

NPI assigned

Oct 28, 2014

Last updated

Oct 28, 2014By 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

Elaine S. Sadkowski, L.C.S.W.NPI 1447353636

Title

Owner

Phone

(321) 631-6300

Specialties & licenses 1

Addresses

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.

• Elaine S Sadkowski, LCSW

  • Clinical Social Worker
  • St Augustine, FL
  • NPI 1447353636
  NPD Authorized official

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1265837694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 HARVIN WAY",
            "address_2": "SUITE 110",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553286",
            "telephone_number": "321-631-6300",
            "fax_number": "321-631-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 HARVIN WAY",
            "address_2": "SUITE 110",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553286",
            "telephone_number": "321-631-6300",
            "fax_number": "321-631-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BREVARD CENTER FOR FAMILY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "SADKOWSKI",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-631-6300",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Saima Abbas, M.D
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• Clinical Social Worker in Rockledge, FL
• Providers in Rockledge, 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 28, 2014; 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.