Supported Strength, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW12698 Issued in FL

Legal business name

SUPPORTED STRENGTH, LLC

Practice address

1112 S 29TH Ave
Hollywood, FL 33020-5618

Phone

(305) 519-5790

NPI assigned

Jun 4, 2015

Last updated

Jun 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Valerie Dorsainvil, LCSW

Title

Licensed Clinical Social Worker

Phone

(305) 519-5790

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1780064667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S 29TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S 29TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205618",
            "telephone_number": "305-519-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTED STRENGTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "DORSAINVIL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "305-519-5790",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW12698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.