Canopy Counseling & Consulting LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CANOPY COUNSELING & CONSULTING LLC

Practice address

2709-4 Killarney Way
Tallahassee, FL 32309

Phone

(850) 443-3048

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Jacqueline Shields

Title

LCSW

Phone

(850) 443-3048

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1861090995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709-4 KILLARNEY WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32309",
            "telephone_number": "850-443-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709-4 KILLARNEY WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32309",
            "telephone_number": "850-443-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOPY COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "850-443-3048"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos E Campo, M.D.
• Joseph Levonne Camps, MD
• Brooke Anna Canada, M.S., CF-SLP
• Michelle Catherine Cangialosi, DPT
• Mark E Cannella
• Canopy Cove (Health Management Institute)
• Canopy Pines Recovery LLC
• Margaret Canter, ARNP,CNM
• Angela Canto, PHD
• Staci Cantrell, RMHCI

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, 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 12, 2020; 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.