Individual provider Active NPI

Marianne C. McAuliffe, LCSW

  • Clinical Social Worker
  • Fort Walton Beach, FL
National Provider Identifier
1649240441
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW2519 Issued in FL
Practice address
403 Hollywood Blvd NW
Suite104A
Fort Walton Beach, FL 32548-4502
Phone
(850) 244-0101
Fax
(850) 243-9795
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW2519 FL Primary

Addresses

Primary practice location

403 Hollywood Blvd NW
Suite104A
Fort Walton Beach, FL 32548-4502

Mailing address

403 Hollywood Blvd NW
Suite104A
Fort Walton Beach, FL 32548-4502
Phone (850) 244-0101

Other identifiers 2

IdentifierTypeStateIssuer
089355OtherFLVALUE OPTIONS NUMBER
Z3290OtherFLBLUECROSS/BLUE SHIELD NUM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Center for Psychological and Family Growth LLC PastSince Jan 1, 2002 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1649240441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 HOLLYWOOD BLVD NW",
            "address_2": "SUITE104A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484502",
            "telephone_number": "850-244-0101",
            "fax_number": "850-243-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 HOLLYWOOD BLVD NW",
            "address_2": "SUITE104A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484502",
            "telephone_number": "850-244-0101",
            "fax_number": "850-243-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAULIFFE",
        "first_name": "MARIANNE",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS NUMBER",
            "identifier": "089355",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUE SHIELD NUM",
            "identifier": "Z3290",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.