Individual provider Active NPI

Lauren Brognano

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1699120428
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15182
Practice address
1882 Capital Cir NE Ste 201
Tallahassee, FL 32308-4568
Phone
(850) 888-0136
NPI assigned
Apr 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW 8801 FL
Clinical Social Worker 1041C0700X SW15182 Primary

Addresses

Primary practice location

1882 Capital Cir NE Ste 201
Tallahassee, FL 32308-4568

Mailing address

1882 Capital Cir NE Ste 201
Tallahassee, FL 32308-4568
Phone (850) 888-0136

Other practice location 1

3201 Shamrock St S
Ste 103
Tallahassee, FL 32309-3349
Phone (850) 888-0136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW 8801FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640995200000",
    "number": "1699120428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 CAPITAL CIR NE STE 201",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084568",
            "telephone_number": "850-888-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 CAPITAL CIR NE STE 201",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084568",
            "telephone_number": "850-888-0136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 SHAMROCK ST S",
            "address_2": "STE 103",
            "address_purpose": "LOCATION",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093349",
            "country_code": "US",
            "telephone_number": "850-888-0136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROGNANO",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW 8801",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "SW15182",
            "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 Jan 1, 2022; 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.