The Trauma Survivor Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE TRAUMA SURVIVOR CENTER, LLC

Doing business as

Orchid Island Wellness and Counseling

Practice address

1750 Belmont Cir SW
Vero Beach, FL 32968-6714

Phone

(772) 643-1101

NPI assigned

Aug 5, 2024

Organization subpart

No

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

Authorized official

Name

Bonnie A Walker, LCSWNPI 1770215303

Title

Ceo

Phone

(772) 643-1101

Specialties & licenses 1

Addresses

Other names 1

• Orchid Island Wellness and Counseling Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bonnie Arlene Walker, LCSW, CTP, CMIP

  • Clinical Social Worker
  • Cookeville, TN
  • NPI 1770215303
  NPD Authorized official

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1699505727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 BELMONT CIR SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329686714",
            "telephone_number": "772-643-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 BELMONT CIR SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329686714",
            "telephone_number": "772-643-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRAUMA SURVIVOR CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-04",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-643-1101",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchid Island Wellness and Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Institute for Bone and Joint Disorders
• The Kitchell Clinic LLC (Kitchell Clinic)
• The Peaceful Mind Counseling Center, LLC (Peaceful Mind Counseling Services)
• The Place at Vero Beach, Inc (The Place at Vero Beach)
• The Tate Center Inc
• The Wright Choice, LLC
• Theodor V.B. Von Zielinski, M.D., P.a.
• Theodore G Perry MD PA
• David T Thomas, M.S
• Joseph J Thomas, D.D.S., M.A.G.D.

• Clinical Social Worker in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.