Organization Active NPI

Soulcialworker, LLC

  • Clinical Social Worker
  • Loxahatchee, FL
National Provider Identifier
1447826375
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOULCIALWORKER, LLC
Practice address
17680 93Rd Rd N
Loxahatchee, FL 33470-2697
Phone
(561) 331-2472
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Rebeca Davies
Title
LCSW
Phone
(561) 331-2472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

17680 93Rd Rd N
Loxahatchee, FL 33470-2697

Mailing address

17680 93Rd Rd N
Loxahatchee, FL 33470-2697

Other names 1

  • Rebeca Davies, LCSW Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SimplePractice

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1447826375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17680 93RD RD N",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334702697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17680 93RD RD N",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334702697",
            "telephone_number": "561-331-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULCIALWORKER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "REBECA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "561-331-2472"
    },
    "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",
            "address_1": "17680 93rd Rd N",
            "city": "Loxahatchee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334702697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rebeca Davies, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.