Paper Crane Wellness Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10201 Issued in FL

Legal business name

PAPER CRANE WELLNESS SERVICES LLC

Practice address

88 Riberia St
Suite 150
St Augustine, FL 32084-3300

Phone

(904) 201-9533

NPI assigned

Dec 4, 2014

Last updated

Dec 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carrie Kyoko Lacayo-Benton, LCSWNPI 1295006914

Title

President

Phone

(904) 201-9533

Specialties & licenses 1

Addresses

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.

• Carrie Kyoko Lacayo-Benton, LCSW

  • Clinical Social Worker
  • St Augustine, FL
  • NPI 1295006914
  Authorized official Same address or phone

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1710384813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 RIBERIA ST",
            "address_2": "SUITE 150",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320843300",
            "telephone_number": "904-201-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 RIBERIA ST",
            "address_2": "SUITE 150",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320843300",
            "telephone_number": "904-201-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPER CRANE WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "LACAYO-BENTON",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "KYOKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-201-9533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha Mehul Pandya, DMD
• Gabriel Evan Sebastian Panebianco Huffman
• Daniela Treatment Panet Raymond
• Pantaleon Pathology Associates PA
• Yanet Pantaleon, MD
• Monica Parco, MSN, FNP-C
• Daniel Paredes, DPT
• Parent Psych LLC
• Tina Parikh, DPT
• Ryan Park, NP

• Clinical Social Worker in St Augustine, FL
• Providers in St Augustine, 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 Dec 4, 2014; 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.