Organization Active NPI

SRB Counseling & Consulting PLLC

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1366956831
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14701 Issued in FL
Legal business name
SRB COUNSELING & CONSULTING PLLC
Practice address
1100 W McNab Rd Ste 104
Fort Lauderdale, FL 33309-1116
Phone
(954) 282-9443
NPI assigned
Nov 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Ms. Shakeyia Reauchean Spann, LCSWNPI 1720389406
Title
Owner/Psychotherapist
Phone
(954) 282-9443

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 SW14701 FL Primary

Addresses

Primary practice location

1100 W McNab Rd Ste 104
Fort Lauderdale, FL 33309-1116

Mailing address

15757 Pines Blvd # 197
Pembroke Pines, FL 33027-1207
Phone (954) 282-9443

National Provider Directory

National Provider Directory

Locations

2020 W McNab Rd
Ste 104
Fort Lauderdale, FL 33309

1100 W McNab Rd
Ste 104
Fort Lauderdale, FL 33309
Phone (954) 282-9443

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": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1366956831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15757 PINES BLVD # 197",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271207",
            "telephone_number": "954-282-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W MCNAB RD STE 104",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091116",
            "telephone_number": "954-282-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRB COUNSELING & CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "SPANN",
        "authorized_official_first_name": "SHAKEYIA",
        "authorized_official_middle_name": "REAUCHEAN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "954-282-9443",
        "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": "SW14701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.