Active NPI
Lola Brognano, LCSW, LLC
- Community/Behavioral Health Agency
- Tallahassee, FL
National Provider Identifier
1710562848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024870200 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Tallahassee | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.