Organization Active NPI

With Open Arms Counseling, LLC

  • Clinical Social Worker
  • Lauderhill, FL
National Provider Identifier
1851812804
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11310 Issued in FL
Legal business name
WITH OPEN ARMS COUNSELING, LLC
Practice address
3810 Inverrary Blvd Ste 404a
Lauderhill, FL 33319-4381
Phone
(954) 892-4723
Fax
(954) 546-3444
NPI assigned
Jun 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Mrs. Clicile Dormeus, LCSWNPI 1295178705
Title
Owner/Operator
Phone
(954) 892-4723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW11310 FL Primary

Addresses

Primary practice location

3810 Inverrary Blvd Ste 404a
Lauderhill, FL 33319-4381

Mailing address

2170 NW 85TH Ave
Sunrise, FL 33322-3816
Phone (954) 892-4723

Other names 1

  • with Open Arms Counseling and Consulting Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1851812804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 NW 85TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223816",
            "telephone_number": "954-892-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 INVERRARY BLVD STE 404A",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333194381",
            "telephone_number": "954-892-4723",
            "fax_number": "954-546-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITH OPEN ARMS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "DORMEUS",
        "authorized_official_first_name": "CLICILE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "954-892-4723",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "with Open Arms Counseling and Consulting",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.