Affinity Therapy of the Emerald Coast Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AFFINITY THERAPY OF THE EMERALD COAST INC

Practice address

385 Harbor Blvd Ste 101B
Destin, FL 32541-2351

Phone

(850) 460-8977

NPI assigned

Oct 18, 2018

Last updated

May 12, 2025By 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

Patricia M WalshNPI 1386941151

Title

Owner

Phone

(850) 460-8977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Patricia Walsh, LCSW

  • Clinical Social Worker
  • Destin, FL
  • NPI 1386941151
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1649746579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 HARBOR BLVD",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 HARBOR BLVD STE 101B",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412351",
            "telephone_number": "850-460-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY THERAPY OF THE EMERALD COAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-460-8977"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Destin, FL
• Providers in Destin, 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 May 12, 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.