Active NPI
His Steps Therapeutic Services LLC
- Clinical Social Worker
- North Lauderdale, FL
National Provider Identifier
1336913250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HIS STEPS THERAPEUTIC SERVICES LLC
- Practice address
- 1319 Seaview
North Lauderdale, FL 33068-3909 - Phone
- (954) 857-9163
- NPI assigned
- Nov 10, 2023
- Last updated
- Nov 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shanique Phillips, LCSW
- Title
- Ceo
- Phone
- (954) 780-6236
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
1319 Seaview
North Lauderdale, FL 33068-3909
Mailing address
1319 Seaview
North Lauderdale, FL 33068-3909
Phone (954) 780-6236
National Provider Directory
National Provider DirectoryPractitioners & 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": "1699574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699574400000",
"number": "1336913250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 SEAVIEW",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "330683909",
"telephone_number": "954-780-6236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 SEAVIEW",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "330683909",
"telephone_number": "954-857-9163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIS STEPS THERAPEUTIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-10",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "SHANIQUE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "954-780-6236",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.