Organization Active NPI

Clear Resolutions, LLC

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1679004162
Registry record updated Mar 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11277 Issued in FL
Legal business name
CLEAR RESOLUTIONS, LLC
Practice address
3653 Cagney Dr Ste 204
Tallahassee, FL 32309-3353
Phone
(727) 403-9550
NPI assigned
Mar 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2017

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

Authorized official

Name
Tamara Knibbs, LCSW
Title
Licensed Clinical Social Worker
Phone
(727) 403-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW11277 FL Primary

Addresses

Primary practice location

3653 Cagney Dr Ste 204
Tallahassee, FL 32309-3353

Mailing address

PO Box 180563
Tallahassee, FL 32318-0006

National Provider Directory

National Provider Directory

Locations

3653 Cagney Dr
Ste 204
Tallahassee, FL 32309
Phone (727) 403-9550

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490400000000",
    "number": "1679004162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180563",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323180006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3653 CAGNEY DR STE 204",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093353",
            "telephone_number": "727-403-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR RESOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-25",
        "last_updated": "2017-03-25",
        "status": "A",
        "authorized_official_last_name": "KNIBBS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "727-403-9550",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2017; 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.