Organization Active NPI

Annelie McCrorie Welch, LCSW, BCB, LLC

  • Clinical Social Worker
  • Jacksonville Beach, FL
National Provider Identifier
1871978361
Registry record updated Jul 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5763 Issued in FL
Legal business name
ANNELIE MCCRORIE WELCH, LCSW, BCB, LLC
Practice address
2380 3Rd St S
Suite 2
Jacksonville Beach, FL 32250-4072
Phone
(904) 234-8861
NPI assigned
Jul 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2015

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

Authorized official

Name
Mrs. Annelie M Welch, LCSWNPI 1578836128
Title
Principal
Phone
(904) 234-8861

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW5763 FL Primary

Addresses

Primary practice location

2380 3Rd St S
Suite 2
Jacksonville Beach, FL 32250-4072

Mailing address

10060 Skinner Lake Dr
Suite 500
Jacksonville, FL 32246-8495
Phone (904) 234-8861

National Provider Directory

National Provider Directory

Locations

10060 Skinner Lake Dr
Ste 500
Jacksonville, FL 32246

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": "1437782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437782400000",
    "number": "1871978361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10060 SKINNER LAKE DR",
            "address_2": "SUITE 500",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468495",
            "telephone_number": "904-234-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 3RD ST S",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504072",
            "telephone_number": "904-234-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNELIE MCCRORIE WELCH, LCSW, BCB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-25",
        "last_updated": "2015-07-25",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "ANNELIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "904-234-8861",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.