Redefine Your Story, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11591 Issued in FL

Legal business name

REDEFINE YOUR STORY, LLC

Practice address

3707 Pompano Dr
Pensacola, FL 32514-4736

Phone

(850) 483-1331

Fax

(850) 361-3437

NPI assigned

Jul 17, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Stacey Christine Steele-Taylor, LCSWNPI 1184050197

Title

Clinical Social Worker Therapist

Phone

(850) 483-1331

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Stacey Christine Steele-Taylor, LCSW

  • Clinical Social Worker
  • Pensacola, FL
  • NPI 1184050197
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881116374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 POMPANO DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325144736",
            "telephone_number": "850-483-1331",
            "fax_number": "850-361-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 POMPANO DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325144736",
            "telephone_number": "850-483-1331",
            "fax_number": "850-361-3437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N 12th Ave Ste 125",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325013315",
            "country_code": "US",
            "telephone_number": "850-483-1331",
            "fax_number": "850-361-3437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REDEFINE YOUR STORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "STEELE-TAYLOR",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER THERAPIST",
        "authorized_official_telephone_number": "850-483-1331",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STACEY STEELE-TAYLOR",
            "identifier": "1184050197",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gennessee Reaves
• Mary Kathryn Reber, APRN
• Madeleine Paige Record
• Linda R Reddoch, CARDIO/RESP TECH
• Redeemed Mental Health and Recovery, PLLC
• Redefyne- Skin & Body Revival
• Guinevere Jane Redick, M.D.
• Tracy Lea Redmond, NP
• Johnna Redwing Pearce, PTA
• William George Reed-Harnish, APRN

• Clinical Social Worker in Pensacola, FL
• Providers in Pensacola, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.