Active NPI
Beatriz Baella Hernandez LCSW,PLLC
- Clinical Social Worker
- Tallahassee, FL
National Provider Identifier
1467648071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 8676
- Legal business name
- BEATRIZ BAELLA HERNANDEZ LCSW,PLLC
- Practice address
- 2888 Mahan Dr
Suite 1
Tallahassee, FL 32308-5464 - Phone
- (850) 443-1974
- Fax
- (850) 422-1923
- NPI assigned
- Sep 18, 2007
- 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
- Beatriz G. Baella Hernandez, LCSW
- Title
- Member Manager
- Phone
- (850) 443-1974
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 8676 | FL | Primary |
Addresses
Primary practice location
2888 Mahan Dr
Suite 1
Tallahassee, FL 32308-5464
Mailing address
7101 Sleepy Holw
Tallahassee, FL 32312-7563
Phone (850) 443-1974
National Provider Directory
National Provider DirectoryLocations
27 N Shadow St
Quincy, FL 32351
Phone (850) 443-1974
1888 Mahan Dr
Ste 1
Tallahassee, FL 32308
Phone (850) 443-1974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1467648071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 SLEEPY HOLW",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323127563",
"telephone_number": "850-443-1974",
"fax_number": "850-422-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2888 MAHAN DR",
"address_2": "SUITE 1",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085464",
"telephone_number": "850-443-1974",
"fax_number": "850-422-1923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEATRIZ BAELLA HERNANDEZ LCSW,PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "BAELLA HERNANDEZ",
"authorized_official_first_name": "BEATRIZ",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "850-443-1974",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 8676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.