Active NPI
Full Circle Psychotherapy LCSW PLLC
- Clinical Social Worker
- Boynton Beach, FL
National Provider Identifier
1457104531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- FULL CIRCLE PSYCHOTHERAPY LCSW PLLC
- Practice address
- 3319 S Federal Hwy Apt E
Boynton Beach, FL 33435-8811 - Phone
- (561) 212-3418
- NPI assigned
- Apr 9, 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
- Marissa Jaacobi, LCSW
- Title
- Founder & Psychotherapist
- Phone
- (561) 212-3418
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3319 S Federal Hwy Apt E
Boynton Beach, FL 33435-8811
Mailing address
3319 S Federal Hwy Apt E
Boynton Beach, FL 33435-8811
Phone (561) 212-3418
Other names 2
- FULL CIRCLE PSYCHOTHERAPY LCSW, PLLC, LLC
- Full Circle LCSW, PLLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Boynton Beach, FL
- NPI 1174114664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718150400000",
"number": "1457104531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3319 S FEDERAL HWY APT E",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334358811",
"telephone_number": "561-212-3418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 S FEDERAL HWY APT E",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334358811",
"telephone_number": "561-212-3418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL CIRCLE PSYCHOTHERAPY LCSW PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-09",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A",
"authorized_official_last_name": "JAACOBI",
"authorized_official_first_name": "MARISSA",
"authorized_official_title_or_position": "FOUNDER & PSYCHOTHERAPIST",
"authorized_official_telephone_number": "561-212-3418",
"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": [],
"other_names": [
{
"organization_name": "FULL CIRCLE PSYCHOTHERAPY LCSW, PLLC, LLC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Full Circle LCSW, PLLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.