Active NPI
Sorinity Support Services of Florida LLC
- Clinical Social Worker
- Jacksonville, FL
National Provider Identifier
1750770723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW9817
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000587602 | Medicaid | FL | |
| 008774400 | Medicaid | FL | |
| 009302900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.