Branch Lane Psychotherapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRANCH LANE PSYCHOTHERAPY

Practice address

90 Fort Wade Rd Ste 100
Ponte Vedra Beach, FL 32081-5114

Phone

(904) 201-9851

NPI assigned

Oct 7, 2025

Last updated

Jul 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erica Oppenheimer, LCSWNPI 1932651098

Title

Manager

Phone

(347) 377-0973

Specialties & licenses 1

Addresses

Locations

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.

• Erica Oppenheimer, LMSW

  • Clinical Social Worker
  • Ponte Vedra Beach, FL
  • NPI 1932651098
  NPD Authorized official

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1447125869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 FORT WADE RD STE 100",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320815114",
            "telephone_number": "347-377-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 FORT WADE RD STE 100",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320815114",
            "telephone_number": "904-201-9851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "248 W 35th St Rm 406",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100012513",
            "country_code": "US",
            "telephone_number": "347-377-0973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRANCH LANE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIMER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-377-0973",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Ann Bowie, B.S.
• Bowman Optometry, PA (Smith Eye Associates)
• Samuel Todd Bowman, OD
• Angela Chris Bradberry, M. ED
• Mitchell Brady, DO
• Lisa Braren, AP
• Daniel Brisuda
• Brittany Blalock Aprn LLC (Peaceful Mind NP)
• Andrea Marie Brogden
• Susan O'Connor Brown

• Clinical Social Worker in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, 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 7, 2026; 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.