Beacon of Hope Consultation Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11915 Issued in FL

Legal business name

BEACON OF HOPE CONSULTATION SERVICES, LLC

Practice address

1946 Tyler St
Hollywood, FL 33020-4517

Phone

(833) 400-4673

Fax

(833) 400-4673

NPI assigned

May 4, 2018

Organization subpart

No

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

Authorized official

Name

Miss Linda Adition, LCSW

Title

License Clinical Social Worker

Phone

(833) 400-4673

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1710476759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 TYLER ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204517",
            "telephone_number": "833-400-4673",
            "fax_number": "833-400-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 TYLER ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204517",
            "telephone_number": "833-400-4673",
            "fax_number": "833-400-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON OF HOPE CONSULTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "ADITION",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "LICENSE CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "833-400-4673",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Hollywood, FL
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• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.