Florida Clinical Solutions Academy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FLORIDA CLINICAL SOLUTIONS ACADEMY LLC

Practice address

1820 Maxine Branch Way
Jacksonville, FL 32218-4764

Phone

(786) 352-5222

NPI assigned

Sep 2, 2022

Last updated

Sep 2, 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

Shabrina Herrera-ThomasNPI 1407216294

Title

Owner/Provider

Phone

(786) 352-5222

Specialties & licenses 1

Addresses

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.

• Shabrina Typiana Herrera Thomas, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1407216294
  NPD Authorized official

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1841911393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 MAXINE BRANCH WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MAXINE BRANCH WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184764",
            "telephone_number": "786-352-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CLINICAL SOLUTIONS ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "HERRERA-THOMAS",
        "authorized_official_first_name": "SHABRINA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "786-352-5222"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, 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 Sep 2, 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.