Organization Active NPI

Marianne C.McAuliffe,LCSW,PL

  • Clinical Social Worker
  • Fort Walton Beach, FL
National Provider Identifier
1689974222
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2519 Issued in FL
Legal business name
MARIANNE C.MCAULIFFE,LCSW,PL
Practice address
403 Hollywood Blvd NW
Suite 104a
Fort Walton Beach, FL 32548-4502
Phone
(850) 244-0101
NPI assigned
Oct 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Marianne C McAuliffe, LCSW
Title
Owner
Phone
(850) 244-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2519 FL Primary

Addresses

Primary practice location

403 Hollywood Blvd NW
Suite 104a
Fort Walton Beach, FL 32548-4502

Mailing address

403 Hollywood Blvd NW
Suite 104a
Fort Walton Beach, FL 32548-4502
Phone (850) 244-0101

National Provider Directory

National Provider Directory

Locations

403 Hollywood Blvd NW
Ste 104A
Fort Walton Beach, FL 32548
Phone (850) 244-0101

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1689974222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 HOLLYWOOD BLVD NW",
            "address_2": "SUITE 104A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484502",
            "telephone_number": "850-244-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 HOLLYWOOD BLVD NW",
            "address_2": "SUITE 104A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484502",
            "telephone_number": "850-244-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNE C.MCAULIFFE,LCSW,PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "MCAULIFFE",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-244-0101",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "2519",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 29, 2010; 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.