Active NPI
Rachel Long Brink, L.C.S.W., B.C.D.
- Clinical Social Worker
- Tampa, FL
National Provider Identifier
1790759751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 5706
- Practice address
- 14517 Bruce B Downs Blvd
Suite #201
Tampa, FL 33613-2755 - Phone
- (813) 228-2761
- Fax
- (813) 225-7048
- NPI assigned
- Feb 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 5706 | FL | Primary |
Addresses
Primary practice location
14517 Bruce B Downs Blvd
Suite #201
Tampa, FL 33613-2755
Mailing address
3743 Eagleflight LN
Land O Lakes, FL 34639-4080
Phone (813) 995-2530
Other names 1
- Mrs. Rachel Long Colquitt
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 |
|---|---|---|---|
| SW 5706 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790759751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3743 EAGLEFLIGHT LN",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346394080",
"telephone_number": "813-995-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14517 BRUCE B DOWNS BLVD",
"address_2": "SUITE #201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336132755",
"telephone_number": "813-228-2761",
"fax_number": "813-225-7048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINK",
"first_name": "RACHEL",
"middle_name": "LONG",
"name_prefix": "Mrs.",
"credential": "L.C.S.W., B.C.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 5706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "COLQUITT",
"middle_name": "LONG",
"prefix": "MRS.",
"credential": "L.C.S.W.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.