Inner Dynamics, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9614 Issued in FL

Legal business name

INNER DYNAMICS, LLC

Practice address

50 Leanni Way
Suite B-3
Palm Coast, FL 32137-4751

Phone

(386) 313-6166

Fax

(386) 313-6166

NPI assigned

Aug 30, 2011

Last updated

Aug 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Laforte, LCSWNPI 1518017292

Title

MGRM

Phone

(386) 313-6166

Specialties & licenses 1

Addresses

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.

• John Laforte, LCSW

  • Clinical Social Worker
  • Palm Coast, FL
  • NPI 1518017292
  Authorized official Same address or phone

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1639450034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RYBARK PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646440",
            "telephone_number": "386-313-6166",
            "fax_number": "386-313-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY",
            "address_2": "SUITE B-3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374751",
            "telephone_number": "386-313-6166",
            "fax_number": "386-313-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER DYNAMICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "LAFORTE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "386-313-6166",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Palm Coast, FL
• Providers in Palm Coast, 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 30, 2011; 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.