Individual provider Active NPI

Berline Belizaire, LCSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1275939225
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17941 Issued in FL
Practice address
2181 Orange Ave E
Tallahassee, FL 32311-6144
Phone
(850) 513-7058
NPI assigned
Nov 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X SW17941 FL Primary

Addresses

Primary practice location

2181 Orange Ave E
Tallahassee, FL 32311-6144

Mailing address

2181 Orange Ave
Tallahassee, FL 32311
Phone (850) 980-8950

Other practice location 1

1000 W Tharpe St Ste 7
Tallahassee, FL 32303-5300
Phone (850) 561-8060

Other practice location 2

2634 Capital Cir NE
Tallahassee, FL 32308-4106
Phone (850) 523-3333

Other practice location 3

1882 Capital Cir NE
Tallahassee, FL 32308-4530
Phone (850) 339-3910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW17941FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1275939225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 ORANGE AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32311",
            "telephone_number": "850-980-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 ORANGE AVE E",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323116144",
            "telephone_number": "850-513-7058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Tharpe St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323035300",
            "country_code": "US",
            "telephone_number": "850-561-8060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2634 Capital Cir NE",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084106",
            "country_code": "US",
            "telephone_number": "850-523-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1882 Capital Cir NE",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084530",
            "country_code": "US",
            "telephone_number": "850-339-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELIZAIRE",
        "first_name": "BERLINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2022-05-23",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.