Individualistic Pursuits, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INDIVIDUALISTIC PURSUITS, LLC

Practice address

4165 SW 51St St
Ft Lauderdale, FL 33314-5713

Phone

(954) 599-1234

NPI assigned

Jan 8, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Doreen Marie Sanabria, LCSW

Title

Ceo

Phone

(954) 599-1234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1740878339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 SW 51ST ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333145713",
            "telephone_number": "954-599-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 SW 51ST ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333145713",
            "telephone_number": "954-599-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUALISTIC PURSUITS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "SANABRIA",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-599-1234",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Ft Lauderdale, FL
• Providers in Ft Lauderdale, 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 Jan 8, 2021; 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.