New Life Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NEW LIFE CENTER LLC

Practice address

90 Fort Wade Rd Ste 100-1028
Ponte Vedra, FL 32081-5146

Phone

(910) 506-4018

NPI assigned

Nov 7, 2025

Organization subpart

No

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

Authorized official

Name

Robert Smith, MSW, LCSW, LCAS, CCSNPI 1447389853

Title

Ceo

Phone

(910) 506-4018

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Robert Lamont Smith Sr., MSW, LCSW, LCAS, CCS

  • Addiction (Substance Use Disorder) Counselor
  • Raeford, NC
  • NPI 1447389853

  Clinical, FL

  Medicare reassignment NPD Authorized official
• Calacia Tiana Douglas, LCSW-A

  • Clinical Social Worker
  • Laurinburg, NC
  • NPI 1801622998
  NPD
• Veronica Singletary McPhatter, MSW, LCSW

  • Clinical Social Worker
  • Laurinburg, NC
  • NPI 1578812251
  NPD (past)

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1609746494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2153",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283532153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 FORT WADE RD STE 100-1028",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815146",
            "telephone_number": "910-506-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-506-4018",
        "authorized_official_credential": "MSW, LCSW, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myeyedr Optometry of Florida, LLC
• Nabr Medical Group PLLC
• Kevin L Neal, DDS
• Kate Nelson
• Ian Alexander Neuhaus, PA-C
• Samuel Brandon New, M.D.
• Carly Newsome, DC
• Anna Nguyen Moyer, PHARM.D.
• Christopher Nguyen
• Edward Nicholson, DPT

• Clinical Social Worker in Ponte Vedra, FL
• Providers in Ponte Vedra, 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 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.