Teamwork, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW2881 Issued in FL

Legal business name

TEAMWORK, LLC

Practice address

237 Lookout PL
Maitland, FL 32751-8433

Phone

(407) 539-2863

Fax

(407) 862-5059

NPI assigned

Feb 12, 2008

Last updated

May 5, 2008By 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

Dr. David Wayne Peterson, ED.D.; L.C.S.W.

Title

Manager

Phone

(407) 252-5418

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1841468907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 LOOKOUT PL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327518433",
            "telephone_number": "407-539-2863",
            "fax_number": "407-862-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 LOOKOUT PL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327518433",
            "telephone_number": "407-539-2863",
            "fax_number": "407-862-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-252-5418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D.; L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS409",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS775",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Maitland, FL
• Providers in Maitland, 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 May 5, 2008; 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.