Organization Active NPI

Susan Cardiff-Reed, LCSW

  • Community/Behavioral Health Agency
  • St Augustine, FL
National Provider Identifier
1871968792
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW6980 Issued in FL
Legal business name
SUSAN CARDIFF-REED, LCSW
Practice address
2692 US 1 S
Suite 110
St Augustine, FL 32086-4903
Phone
(904) 671-5726
Fax
(904) 239-5522
NPI assigned
Dec 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Susan Patricia Cardiff-Reed, LCSWNPI 1205825684
Title
Owner/Therapist
Phone
(904) 671-5726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW6980 FL Primary

Addresses

Primary practice location

2692 US 1 S
Suite 110
St Augustine, FL 32086-4903

Mailing address

2692 Us1 South
Suite 110
St. Augustine, FL 32086-4909
Phone (904) 671-5726

National Provider Directory

National Provider Directory

Locations

2692 US Highway 1 S
Unit 110
Saint Augustine, FL 32086
Phone (904) 671-5726

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1871968792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2692 US1 SOUTH",
            "address_2": "SUITE 110",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "320864909",
            "telephone_number": "904-671-5726",
            "fax_number": "904-239-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2692 US 1 S",
            "address_2": "SUITE 110",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864903",
            "telephone_number": "904-671-5726",
            "fax_number": "904-239-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN CARDIFF-REED, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "CARDIFF-REED",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "904-671-5726",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW6980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.