Active NPI
Boca Grande Counseling LLC
- Clinical Social Worker
- Englewood, FL
National Provider Identifier
1588364699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BOCA GRANDE COUNSELING LLC
- Practice address
- 975 N Boundary Rd
Englewood, FL 34223-2312 - Phone
- (941) 786-4947
- Fax
- (310) 923-7704
- NPI assigned
- Mar 7, 2023
- Last updated
- Mar 7, 2023
- 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
- Sara Abadie, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (941) 786-4947
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
975 N Boundary Rd
Englewood, FL 34223-2312
Mailing address
975 N Boundary Rd
Englewood, FL 34223-2312
Phone (941) 786-4947
Other practice location 1
285 W 6th St Unit 424
San Pedro, CA 90731-3379
Phone (941) 786-4947
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Englewood, FL
- NPI 1194106732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1588364699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 N BOUNDARY RD",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342232312",
"telephone_number": "941-786-4947",
"fax_number": "310-923-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 N BOUNDARY RD",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342232312",
"telephone_number": "941-786-4947",
"fax_number": "310-923-7704"
}
],
"practiceLocations": [
{
"address_1": "285 W 6th St Unit 424",
"address_purpose": "LOCATION",
"city": "San Pedro",
"state": "CA",
"postal_code": "907313379",
"country_code": "US",
"telephone_number": "941-786-4947",
"fax_number": "310-923-7704",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BOCA GRANDE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-07",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A",
"authorized_official_last_name": "ABADIE",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "941-786-4947",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.