Alex Culbreth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17505 Issued in FL

Practice address

330 Kay Larkin Dr
Palatka, FL 32177-2307

Phone

(800) 539-4228

Fax

(386) 385-1269

NPI assigned

Aug 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1871140418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MAGNOLIA AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144304",
            "telephone_number": "386-236-3200",
            "fax_number": "386-236-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 KAY LARKIN DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772307",
            "telephone_number": "800-539-4228",
            "fax_number": "386-385-1269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Miller St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734760",
            "country_code": "US",
            "telephone_number": "386-546-1692",
            "fax_number": "904-592-7770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 Saint Johns Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Palatka",
            "state": "FL",
            "postal_code": "321774724",
            "country_code": "US",
            "telephone_number": "386-546-1692",
            "fax_number": "904-592-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULBRETH",
        "first_name": "ALEX",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW-12133",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Palatka",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "417 Saint Johns Ave Ste 1",
            "city": "Palatka",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321774724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pamela M. Curry, L.M.H.C.
• Brandi Rae Curtis, NP-C

• Clinical Social Worker in Palatka, FL
• Providers in Palatka, 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 Jan 6, 2021; 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.