Active NPI
Maranatha Nelson, RCSWI
- Clinical Social Worker
- Brandon, FL
National Provider Identifier
1760124861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW15778
- Practice address
- 615 Oakfield Dr
Brandon, FL 33511-5714 - Phone
- (833) 769-3524
- NPI assigned
- Apr 9, 2022
- Last updated
- Dec 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | ISW15778 | FL | Primary |
Addresses
Primary practice location
615 Oakfield Dr
Brandon, FL 33511-5714
Mailing address
615 Oakfield Dr
Brandon, FL 33511-5714
Phone (833) 769-3524
Other practice location 1
1001 N Miami Beach Blvd
North Miami Beach, FL 33162-3842
Phone (786) 320-5559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW15778 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Current | Accepting new patients |
Locations
615 Oakfield Dr
Brandon, FL 33511
Phone (813) 565-3322
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LifeStance Health
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1760124861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 OAKFIELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115714",
"telephone_number": "833-769-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 OAKFIELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115714",
"telephone_number": "833-769-3524"
}
],
"practiceLocations": [
{
"address_1": "1001 N Miami Beach Blvd",
"address_purpose": "LOCATION",
"city": "North Miami Beach",
"state": "FL",
"postal_code": "331623842",
"country_code": "US",
"telephone_number": "786-320-5559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "MARANATHA",
"credential": "RCSWI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-09",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW15778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.