Organization Active NPI

Isw10244Delta Family Counseling

  • Community/Behavioral Health Agency
  • Cape Coral, FL
National Provider Identifier
1861866758
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
ISW10244 Issued in FL
Legal business name
ISW10244DELTA FAMILY COUNSELING
Practice address
3723 Del Prado Blvd S
Cape Coral, FL 33904-7124
Phone
(239) 540-1155
NPI assigned
Nov 16, 2015
Last updated
Nov 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Caitlin Carroll, MSW
Title
Counselor
Phone
(239) 540-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X ISW10244 FL Primary

Addresses

Primary practice location

3723 Del Prado Blvd S
Cape Coral, FL 33904-7124

Mailing address

3723 Del Prado Blvd S
Cape Coral, FL 33904-7124
Phone (239) 540-1155

National Provider Directory

National Provider Directory

Locations

3723 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 540-1155

Practitioners & affiliated clinicians

Practitioners 5

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": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1861866758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047124",
            "telephone_number": "239-540-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047124",
            "telephone_number": "239-540-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISW10244DELTA FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "239-540-1155",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "ISW10244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.