Organization Active NPI

Transformations Therapeutic Services

  • Clinical Social Worker
  • Palm Bay, FL
National Provider Identifier
1831772391
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRANSFORMATIONS THERAPEUTIC SERVICES
Practice address
1501 Robert J Conlan Blvd NE
Palm Bay, FL 32905-3502
Phone
(321) 210-3681
NPI assigned
May 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Alisa McGee, LCSWNPI 1851981666
Title
Therapist Counselor
Phone
(321) 210-3681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1501 Robert J Conlan Blvd NE
Palm Bay, FL 32905-3502

Mailing address

1501 Robert J Conlan Blvd NE
Palm Bay, FL 32905-3502
Phone (321) 210-3681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220214000107 FL Part B Supplier - Clinic/Group Practice 9335532480 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Locations

478 N Babcock St
Ste 113
Melbourne, FL 32935
Phone (321) 210-3681

1501 Robert J Conlan Blvd NE
Palm Bay, FL 32905
Phone (321) 726-8116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1831772391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053502",
            "telephone_number": "321-210-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053502",
            "telephone_number": "321-210-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONS THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "THERAPIST COUNSELOR",
        "authorized_official_telephone_number": "321-210-3681",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.