Fayvonne Flourish, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FAYVONNE FLOURISH, PLLC

Practice address

412 Millard St
Georgetown, TX 78628-2024

Phone

(512) 828-2367

NPI assigned

Feb 8, 2021

Organization subpart

No

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

Authorized official

Name

Robin Fayvonne Johnson, LCSW

Title

Owner

Phone

(512) 828-2367

Specialties & licenses 1

Addresses

Other names 1

• Robin Johnson Other name

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Jones, LMSW

  • Clinical Social Worker
  • Georgetown, TX
  • NPI 1689332207
  NPD

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1417549890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 MILLARD ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282024",
            "telephone_number": "512-333-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MILLARD ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282024",
            "telephone_number": "512-828-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYVONNE FLOURISH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "FAYVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-828-2367",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Simplepractice",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "412 Millard St",
            "city": "Georgetown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786282024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Robin Johnson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Farr Orthodontics PLLC
• Samantha Evans Farr, DDS
• Alexandra Farrington, MS
• Line Ornella Fassu Siankam
• Nicole Faulkner
• Justin Feeney, D.O.
• Patricia A Felder, DC
• John Feldmeier, DO
• Jeffrey Chad Fendley, D.D.S.
• Dan Feng, APRN

• Clinical Social Worker in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.