Ivory Monique Avant, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17439 Issued in FL

Practice address

1882 Capital Cir NE Ste 205
Tallahassee, FL 32308-4568

Phone

(888) 718-4915

Fax

(850) 765-7597

NPI assigned

Jun 30, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1508387416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 CAPITAL CIR NE STE 205",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084568",
            "telephone_number": "888-718-4915",
            "fax_number": "850-765-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 CAPITAL CIR NE STE 205",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084568",
            "telephone_number": "888-718-4915",
            "fax_number": "850-765-7597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 NE 123rd St Ste 334",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331812883",
            "country_code": "US",
            "telephone_number": "888-718-4915",
            "fax_number": "850-765-7597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVANT",
        "first_name": "IVORY",
        "middle_name": "MONIQUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savanah Hamilton Autrey, CCC-SLP
• Avail Health and Behavioral Solutions
• Avail Health and Behavioral Solutions
• Avail Health and Behavioral Solutions
• Callie Avant, LMHC
• Isaac Nathanael Avello
• Claire Dede Avery, PHD
• Daniel Alexander Avila
• Kristel Natasha Avilus
• Julie Elaine Avirett, MM, MT-BC

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.