Organization Active NPI

Professional Counseling Services

  • Clinical Social Worker
  • Hollywood, FL
National Provider Identifier
1548439011
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5654 Issued in FL
Legal business name
PROFESSIONAL COUNSELING SERVICES
Practice address
450 N Park Rd Ste 504
Hollywood, FL 33021-6918
Phone
(954) 962-5511
NPI assigned
Feb 28, 2008
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Linda Offner
Title
Therapist
Phone
(954) 962-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5654 FL Primary

Addresses

Primary practice location

450 N Park Rd Ste 504
Hollywood, FL 33021-6918

Mailing address

450 N Park Rd
Ste 504
Hollywood, FL 33021

National Provider Directory

National Provider Directory

Locations

450 N Park Rd
Ste 504
Hollywood, FL 33021
Phone (954) 962-5511

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1548439011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N PARK RD",
            "address_2": "STE 504",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N PARK RD STE 504",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216918",
            "telephone_number": "954-962-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "OFFNER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "954-962-5511"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "5654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.