Active NPI
The Inner Truth Project
- Clinical Social Worker
- Port St Lucie, FL
National Provider Identifier
1356907919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THE INNER TRUTH PROJECT
- Doing business as
- The Inner Truth Project
- Practice address
- 2190 NW Reserve Park Trce Ste 13
Port St Lucie, FL 34986-3328 - Phone
- (772) 200-4599
- NPI assigned
- May 19, 2019
- 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
- Mrs. Mindi Fetterman
- Title
- Social Worker
- Phone
- (772) 200-4599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2190 NW Reserve Park Trce Ste 13
Port St Lucie, FL 34986-3328
Mailing address
2190 NW Reserve Park Trce Ste 13
Port St Lucie, FL 34986-3328
Phone (772) 200-4599
Other practice location 1
654 SE Monterey Rd
Stuart, FL 34994-4410
Phone (772) 667-9073
Other names 1
- The Inner Truth Project
National Provider Directory
National Provider DirectoryLocations
2190 NW Reserve Park Trce
Ste 13
Port St Lucie, FL 34986
Phone (772) 200-4599
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Port Saint Lucie, FL
- NPI 1942762869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720137600000",
"number": "1356907919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2190 NW RESERVE PARK TRCE STE 13",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349863328",
"telephone_number": "772-200-4599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2190 NW RESERVE PARK TRCE STE 13",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349863328",
"telephone_number": "772-200-4599"
}
],
"practiceLocations": [
{
"address_1": "654 SE Monterey Rd",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349944410",
"country_code": "US",
"telephone_number": "772-667-9073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE INNER TRUTH PROJECT",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-19",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A",
"authorized_official_last_name": "FETTERMAN",
"authorized_official_first_name": "MINDI",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "772-200-4599",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Inner Truth Project",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Inner Truth Project",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.