Organization Active NPI

Beatriz Baella Hernandez LCSW,PLLC

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1467648071
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 8676 Issued in FL
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

Updated by the provider on Apr 24, 2008

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.