Organization Active NPI

Lola Brognano, LCSW, LLC

  • Community/Behavioral Health Agency
  • Tallahassee, FL
National Provider Identifier
1710562848
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LOLA BROGNANO, LCSW, LLC
Practice address
1882 Capital Cir NE Ste 201
Tallahassee, FL 32308-4568
Phone
(850) 888-0136
NPI assigned
Mar 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Lauren Brognano
Title
Clinical Social Worker
Phone
(920) 860-1938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

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

Mailing address

491 Teal LN Apt a
Tallahassee, FL 32308-4742
Phone (920) 860-1938

Other identifiers 1

IdentifierTypeStateIssuer
024870200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Tallahassee Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

3122 Mahan Dr
Ste 801358
Tallahassee, FL 32308
Phone (850) 888-0136

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1710562848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 TEAL LN APT A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084742",
            "telephone_number": "920-860-1938"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "LOLA BROGNANO, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "BROGNANO",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "920-860-1938"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024870200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tallahassee",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1882 Capital Cir NE Ste 201",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323084568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 17, 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.