Organization Active NPI

Sorinity Support Services of Florida LLC

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1750770723
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9817 Issued in FL
Legal business name
SORINITY SUPPORT SERVICES OF FLORIDA LLC
Practice address
6318 Arlington Rd
Jacksonville, FL 32211-5424
Phone
(904) 403-4977
Fax
(877) 712-4623
NPI assigned
Jan 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Alvina Roberts
Title
Owner/Administrator
Phone
(904) 403-4977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW9817 FL Primary

Addresses

Primary practice location

6318 Arlington Rd
Jacksonville, FL 32211-5424

Mailing address

6318 Arlington Rd
Jacksonville, FL 32211-5424
Phone (904) 403-4977

Other identifiers 3

IdentifierTypeStateIssuer
000587602MedicaidFL
008774400MedicaidFL
009302900MedicaidFL

National Provider Directory

National Provider Directory

Locations

6318 Arlington Rd
Jacksonville, FL 32211
Phone (904) 403-4977

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1750770723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6318 ARLINGTON RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115424",
            "telephone_number": "904-403-4977",
            "fax_number": "877-712-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6318 ARLINGTON RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115424",
            "telephone_number": "904-403-4977",
            "fax_number": "877-712-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORINITY SUPPORT SERVICES OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ALVINA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "904-403-4977"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000587602",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008774400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009302900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.