Ellen R Bachmeyer LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW3292 Issued in FL

Legal business name

ELLEN R BACHMEYER LCSW LLC

Practice address

270 Campbell Ave
The Villages, FL 32162-5389

Phone

(352) 209-6211

Fax

(407) 217-6632

NPI assigned

Sep 23, 2010

Organization subpart

No

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

Authorized official

Name

Ellen R Bachmeyer, LCSW

Title

Owner

Phone

(352) 209-6211

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1437467479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770575",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347770575",
            "telephone_number": "352-209-6211",
            "fax_number": "407-217-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CAMPBELL AVE",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625389",
            "telephone_number": "352-209-6211",
            "fax_number": "407-217-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN R BACHMEYER LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "BACHMEYER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-209-6211",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in The Villages, FL
• Providers in The Villages, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.