Active NPI
Marianne C.McAuliffe,LCSW,PL
- Clinical Social Worker
- Fort Walton Beach, FL
National Provider Identifier
1689974222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2519
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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
- Selina Therese Mantanona, PT, DPT
- Rose Ann Quilang Maquinad, BSN,RN
- Mar-Walt Drive Emergency Physicians, LLC
- Maranatha Transportation Services
- Maria Elen P Gajo MD PA
- Marianne L McCain PH D P a
- Chelsea Marien, PSY.D.
- Amanda Josefina Marin, COTA
- Gregory Joseph Marino, PHARMD
- Mariposa Speech Therapy LLC
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.