River Birch Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RIVER BIRCH WELLNESS LLC

Practice address

4763 1St Ave S
St Petersburg, FL 33711-1005

Phone

(727) 490-8293

NPI assigned

Mar 28, 2020

Organization subpart

No

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

Authorized official

Name

Rebeca Waite

Title

Managing Partner

Phone

(312) 898-6018

Specialties & licenses 1

Addresses

Practitioners 2

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

• Stephanie Ann Jones

  • Clinical Social Worker
  • St Petersburg, FL
  • NPI 1073141388
  NPD
• Rebecca Waite

  • Clinical Social Worker
  • Pittsfield, MA
  • NPI 1225657620
  NPD (past)

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585353600000",
    "number": "1730717638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 HUNTINGTON DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4763 1ST AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111005",
            "telephone_number": "727-490-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER BIRCH WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-28",
        "last_updated": "2020-03-28",
        "certification_date": "2020-03-28",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "REBECA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "312-898-6018"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rishi Patel DO
• Rising Little Stars ABA Therapy LLC
• Elyssa Barnett Ritter
• John Thaddeus Ritter, D.M.D.
• Tori Ritter
• River City Nature Therapy, PLLC
• Christian David Rivera Vazquez, PHARMD
• David Jose Rivera Vazquez, MD
• Lourdes Emilia Rivera-Colon, D.M.D
• Reina Isabel Rivera-Schoering

• Clinical Social Worker in St Petersburg, FL
• Providers in St Petersburg, 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 Mar 28, 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.