Individual provider Active NPI

Brenda J. Legaspi, LCSW

  • Clinical Social Worker
  • Palm Coast, FL
National Provider Identifier
1457531774
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9124 Issued in FL
Practice address
50 Leanni Way Unit C4
Palm Coast, FL 32137-4755
Phone
(386) 445-9682
NPI assigned
Nov 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X SW9124 FL Primary

Addresses

Primary practice location

50 Leanni Way Unit C4
Palm Coast, FL 32137-4755

Mailing address

50 Leanni Way Unit C4
Palm Coast, FL 32137-4755
Phone (386) 445-9682

Other practice location 1

60 Memorial Medical Parkway
Florida Hospital Flagler
Palm Coast, FL 32164
Phone (386) 586-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Get Off the Couch Counseling, LLC Clinical CurrentSince Oct 8, 2023 Accepting new patients
Nurture From Within Counseling LLC Clinical CurrentSince Jun 1, 2024 Accepting new patients

Locations

50 Leanni Way
Unit C4
Palm Coast, FL 32137
Phone (386) 243-4322

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1457531774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY UNIT C4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374755",
            "telephone_number": "386-445-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY UNIT C4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374755",
            "telephone_number": "386-445-9682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Memorial Medical Parkway",
            "address_2": "Florida Hospital Flagler",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "32164",
            "country_code": "US",
            "telephone_number": "386-586-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGASPI",
        "first_name": "BRENDA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.