Judith Charlotte Clingman, M.A, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT36923 Issued in CA

Practice address

19677 Aqua View LN
Fort Myers, FL 33913-9664

Phone

(310) 749-2508

Fax

(310) 317-7878

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1740314301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19677 AQUA VIEW LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139664",
            "telephone_number": "310-749-2508",
            "fax_number": "310-317-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19677 AQUA VIEW LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139664",
            "telephone_number": "310-749-2508",
            "fax_number": "310-317-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINGMAN",
        "first_name": "JUDITH",
        "middle_name": "CHARLOTTE",
        "name_prefix": "Ms.",
        "credential": "M.A, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT36923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.