Organization Active NPI

Healing Passages LLC

  • Clinical Social Worker
  • Naples, FL
National Provider Identifier
1457853681
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12150 Issued in FL
Legal business name
HEALING PASSAGES LLC
Practice address
5585 Cove Cir
Naples, FL 34119-9530
Phone
(239) 289-8606
NPI assigned
Mar 4, 2018
Last updated
Sep 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Mariana Vandivier, LCSWNPI 1538678941
Title
LCSW/Owner
Phone
(239) 289-8606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW12150 FL Primary

Addresses

Primary practice location

5585 Cove Cir
Naples, FL 34119-9530

Mailing address

5585 Cove Cir
Naples, FL 34119-9530
Phone (239) 289-8606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240305000901 IL Part B Supplier - Clinic/Group Practice 6305109398 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1457853681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5585 COVE CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199530",
            "telephone_number": "239-289-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 COVE CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199530",
            "telephone_number": "239-289-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PASSAGES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-04",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "VANDIVIER",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "239-289-8606",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.