Cecilia Land LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CECILIA LAND LCSW-R

Practice address

640 Brevard Ave
Cocoa, FL 32922-7849

Phone

(347) 866-0423

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By 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

Cecilia Michelle Papalas LandNPI 1861664294

Title

Licensed Clinical Social Worker

Phone

(347) 866-0423

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cecilia Land, LCSW

  • Clinical Social Worker
  • Cocoa, FL
  • NPI 1861664294
  NPD Authorized official

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1821712712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RENEE CT",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553748",
            "telephone_number": "347-866-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BREVARD AVE",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227849",
            "telephone_number": "347-866-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECILIA LAND LCSW-R",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "MICHELLE PAPALAS",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "347-866-0423"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861664294",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.