Organization Active NPI

Professional Counseling Services LLC

  • Clinical Social Worker
  • Sebring, FL
National Provider Identifier
1326219668
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7017 Issued in FL
Legal business name
PROFESSIONAL COUNSELING SERVICES LLC
Practice address
211 Circle Park Dr Ste 2
Sebring, FL 33870-3332
Phone
(863) 471-2226
Fax
(863) 471-2226
NPI assigned
Mar 14, 2008
Last updated
Mar 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Mrs. Elisa W Dorrough-Ewing, LCSWNPI 1689745051
Title
Owner
Phone
(863) 471-2226

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 SW7017 FL Primary

Addresses

Primary practice location

211 Circle Park Dr Ste 2
Sebring, FL 33870-3332

Mailing address

211 Circle Park Dr Ste 2
Sebring, FL 33870-3332
Phone (863) 471-2226

National Provider Directory

National Provider Directory

Locations

211 Circle Park Dr
Ste 2
Sebring, FL 33870
Phone (863) 471-2226

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1326219668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CIRCLE PARK DR STE 2",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338703332",
            "telephone_number": "863-471-2226",
            "fax_number": "863-471-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CIRCLE PARK DR STE 2",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338703332",
            "telephone_number": "863-471-2226",
            "fax_number": "863-471-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "DORROUGH-EWING",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-471-2226",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.