Active NPI
Lavender Nest LLC
- Clinical Social Worker
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LAVENDER NEST LLC
- Practice address
- 1114 Thomasville Rd Ste a
Tallahassee, FL 32303-6290 - Phone
- (850) 296-2493
- NPI assigned
- Jun 6, 2024
- Last updated
- Jun 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kortney Clinton, PHD, LCSW
- Title
- Founder/Clinical Director
- Phone
- (850) 296-2493
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1114 Thomasville Rd Ste a
Tallahassee, FL 32303-6290
Mailing address
PO Box 332
Lloyd, FL 32337-0332
Phone (850) 296-2493
National Provider Directory
National Provider DirectoryLocations
1114 Thomasville Rd
Ste A
Tallahassee, FL 32303
Phone (850) 296-2493
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Monticello, FL
- NPI 1619673340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717632000000",
"number": "1437990942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 332",
"city": "LLOYD",
"state": "FL",
"postal_code": "323370332",
"telephone_number": "850-296-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 THOMASVILLE RD STE A",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323036290",
"telephone_number": "850-296-2493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAVENDER NEST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A",
"authorized_official_last_name": "CLINTON",
"authorized_official_first_name": "KORTNEY",
"authorized_official_title_or_position": "FOUNDER/CLINICAL DIRECTOR",
"authorized_official_telephone_number": "850-296-2493",
"authorized_official_credential": "PHD, LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 Jun 6, 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.