NPIMap

Organization Active NPI

The Healing Playroom, PLLC

  • Clinical Social Worker
  • Neptune Beach, FL
National Provider Identifier
1689069288
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12149 Issued in FL
Legal business name
THE HEALING PLAYROOM, PLLC
Practice address
804 3Rd St
Suite D
Neptune Beach, FL 32266-5040
Phone
(904) 746-3320
NPI assigned
Mar 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Mrs. Anna L Farrin, LCSW
Title
Registered Play Therapist
Phone
(904) 746-3320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW12149 FL Primary

Addresses

Primary practice location

804 3Rd St
Suite D
Neptune Beach, FL 32266-5040

Mailing address

804 3Rd St
Suite D
Neptune Beach, FL 32266-5040
Phone (904) 746-3320

National Provider Directory

National Provider Directory

Locations

804 3rd St
Ste D
Neptune Beach, FL 32266
Phone (904) 746-3320

Practitioners & affiliated clinicians

Practitioners 5

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": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1689069288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 3RD ST",
            "address_2": "SUITE D",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665040",
            "telephone_number": "904-746-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 3RD ST",
            "address_2": "SUITE D",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665040",
            "telephone_number": "904-746-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING PLAYROOM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "FARRIN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REGISTERED PLAY THERAPIST",
        "authorized_official_telephone_number": "904-746-3320",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.