NPIMap

Organization Active NPI

Bold Step, LLC

Doing business as Beauty for Ashes Ministries

  • Clinical Social Worker
  • Plantation, FL
National Provider Identifier
1861822132
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9162 Issued in FL
Legal business name
BOLD STEP, LLC
Doing business as
Beauty for Ashes Ministries
Practice address
1121 NW 111TH Ave
Plantation, FL 33322-7826
Phone
(954) 826-5979
NPI assigned
Nov 22, 2013
Last updated
Jun 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Mrs. Chevalene Palmer Barnes, LCSWNPI 1790154797
Title
Manager
Phone
(954) 826-5979

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 Worker 1041C0700X SW9162 FL Primary

Addresses

Primary practice location

1121 NW 111TH Ave
Plantation, FL 33322-7826

Mailing address

1121 NW 111TH Ave
Plantation, FL 33322-7826
Phone (954) 826-5979

Other names 1

  • Beauty for Ashes Ministries Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1861822132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 NW 111TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333227826",
            "telephone_number": "954-826-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 NW 111TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333227826",
            "telephone_number": "954-826-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD STEP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "PALMER BARNES",
        "authorized_official_first_name": "CHEVALENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-826-5979",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beauty for Ashes Ministries",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beauty for Ashes Ministries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.