Organization Active NPI

Restored Through Grace, LLC

  • Clinical Social Worker
  • Palm Harbor, FL
National Provider Identifier
1902382625
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RESTORED THROUGH GRACE, LLC
Practice address
2332 Clubside CT
Palm Harbor, FL 34683-1782
Phone
(305) 934-7638
NPI assigned
Jul 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Authorized official

Name
Elisabeth G. Benovic, LCSWNPI 1811407562
Title
Manager
Phone
(305) 934-7638

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X SW14827 FL

Addresses

Primary practice location

2332 Clubside CT
Palm Harbor, FL 34683-1782

Mailing address

2332 Clubside CT Apt 1422
Palm Harbor, FL 34683-1782
Phone (305) 934-7638

National Provider Directory

National Provider Directory

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": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1902382625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 CLUBSIDE CT APT 1422",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831782",
            "telephone_number": "305-934-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 CLUBSIDE CT",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831782",
            "telephone_number": "305-934-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED THROUGH GRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "BENOVIC",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-934-7638",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "SW14827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.