NPIMap

Organization Active NPI

Inner Harbor Center for Wellness LLC

  • Clinical Social Worker
  • Seminole, FL
National Provider Identifier
1285070920
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11218 Issued in FL
Legal business name
INNER HARBOR CENTER FOR WELLNESS LLC
Practice address
9160 Oakhurst Rd
Suite 4B
Seminole, FL 33776
Phone
(727) 504-3041
Fax
(727) 498-5522
NPI assigned
May 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Ms. Theresa Louise Dvorak-Farling, LCSWNPI 1700126984
Title
Therapist & Founder
Phone
(727) 504-3041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW11218 FL Primary

Addresses

Primary practice location

9160 Oakhurst Rd
Suite 4B
Seminole, FL 33776

Mailing address

9160 Oakhurst Rd
Suite 4B
Seminole, FL 33776
Phone (727) 504-3041

National Provider Directory

National Provider Directory

Locations

9160 Oakhurst Rd
Ste 4B
Seminole, FL 33776
Phone (727) 504-3041

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1285070920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 OAKHURST RD",
            "address_2": "SUITE 4B",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "33776",
            "telephone_number": "727-504-3041",
            "fax_number": "727-498-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 OAKHURST RD",
            "address_2": "SUITE 4B",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "33776",
            "telephone_number": "727-504-3041",
            "fax_number": "727-498-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER HARBOR CENTER FOR WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "DVORAK-FARLING",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "THERAPIST & FOUNDER",
        "authorized_official_telephone_number": "727-504-3041",
        "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": "SW11218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.