Individual provider Active NPI

Bruce Laflen, LCSW

  • Clinical Social Worker
  • Punta Gorda, FL
National Provider Identifier
1396045837
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6751 Issued in FL
Practice address
25166 Marion Ave
Ste 112
Punta Gorda, FL 33950-4017
Phone
(941) 467-6347
NPI assigned
Nov 1, 2010
Last updated
Jan 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW6751 FL Primary

Addresses

Primary practice location

25166 Marion Ave
Ste 112
Punta Gorda, FL 33950-4017

Mailing address

25166 Marion Ave
Suite 112
Punta Gorda, FL 33950-4017
Phone (941) 467-6247

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW6751FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CTS Addiction & Counseling Services LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1396045837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25166 MARION AVE",
            "address_2": "SUITE 112",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504017",
            "telephone_number": "941-467-6247",
            "fax_number": "941-637-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25166 MARION AVE",
            "address_2": "STE 112",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504017",
            "telephone_number": "941-467-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFLEN",
        "first_name": "BRUCE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-01",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.