Organization Active NPI

NSK Counseling, LLC

  • Clinical Social Worker
  • Palm Bay, FL
National Provider Identifier
1710518519
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NSK COUNSELING, LLC
Practice address
1501 Robert J Conlan Blvd NE Ste 200
Palm Bay, FL 32905-3561
Phone
(321) 723-8823
Fax
(321) 723-9551
NPI assigned
Jan 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Nancy KleinNPI 1235502022
Title
Owner
Phone
(321) 723-8823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1501 Robert J Conlan Blvd NE Ste 200
Palm Bay, FL 32905-3561

Mailing address

1501 Robert J Conlan Blvd NE Ste 200
Palm Bay, FL 32905-3561
Phone (321) 723-8823

Other identifiers 1

IdentifierTypeStateIssuer
023971800MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1710518519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE STE 200",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053561",
            "telephone_number": "321-723-8823",
            "fax_number": "321-723-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE STE 200",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053561",
            "telephone_number": "321-723-8823",
            "fax_number": "321-723-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-723-8823"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023971800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.