Paraclete Counseling & Case Management of Florida LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PARACLETE COUNSELING & CASE MANAGEMENT OF FLORIDA LLC

Practice address

124 NW Madison St
Lake City, FL 32055-3922

Phone

(386) 209-0619

NPI assigned

Feb 29, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Fabray Dealow Smith-Wiggins, LCSWNPI 1821425372

Title

Coo

Phone

(386) 209-0619

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fabray Dealow Smith-Wiggins, LCSW

  • Clinical Social Worker
  • Lake City, FL
  • NPI 1821425372
  NPD Authorized official

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1508623166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 NW LAKE JEFFERY RD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554773",
            "telephone_number": "386-209-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NW MADISON ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553922",
            "telephone_number": "386-209-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARACLETE COUNSELING & CASE MANAGEMENT OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "SMITH-WIGGINS",
        "authorized_official_first_name": "FABRAY",
        "authorized_official_middle_name": "DEALOW",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "386-209-0619",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine S Pallija, ARNP
• Brett-Ashley Palmer, OD
• Jacquelyn Annelle Palmer, PHARM D
• Paula Carol Palmer
• Brian M Paphides, D.D.S.
• Kelly Shannon Paradise, ARNP
• Darcy Pare, LMHC
• Kelsey Park
• Rachel Christian Parker
• Tia Shanae Parker

• Clinical Social Worker in Lake City, FL
• Providers in Lake City, 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 Nov 8, 2024; 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.