Active NPI
Victoria Patricia Espinosa, MSW
- Clinical Social Worker
- Tallahassee, FL
National Provider Identifier
1366899627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15553
- Practice address
- 4500 W Shannon Lakes Dr Ste 3
Tallahassee, FL 32309 - Phone
- (850) 942-2000
- Fax
- (850) 942-2003
- NPI assigned
- May 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW10246 | FL | |
| Clinical Social Worker | 1041C0700X | SW15553 | FL | Primary |
Addresses
Primary practice location
4500 W Shannon Lakes Dr Ste 3
Tallahassee, FL 32309
Mailing address
2606 Old Bainbridge Rd
Unit D
Tallahassee, FL 32303-9215
Phone (305) 562-4020
Other practice location 1
2711 W 15th St
Panama City, FL 32401-1366
Phone (850) 769-6001
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
| License | State | Type | Specialty |
|---|---|---|---|
| ISW10246 | FL | MD | Clinical Social Worker |
| SW15553 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1366899627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2606 OLD BAINBRIDGE RD",
"address_2": "UNIT D",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323039215",
"telephone_number": "305-562-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 W SHANNON LAKES DR STE 3",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32309",
"telephone_number": "850-942-2000",
"fax_number": "850-942-2003"
}
],
"practiceLocations": [
{
"address_1": "2711 W 15th St",
"address_purpose": "LOCATION",
"city": "Panama City",
"state": "FL",
"postal_code": "324011366",
"country_code": "US",
"telephone_number": "850-769-6001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESPINOSA",
"first_name": "VICTORIA",
"middle_name": "PATRICIA",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW10246",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15553",
"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 Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.