NPIMap

Organization Active NPI

Shiloh Counseling Center

  • Clinical Social Worker
  • Milton, FL
National Provider Identifier
1932637253
Registry record updated Jun 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10234 Issued in FL
Legal business name
SHILOH COUNSELING CENTER
Practice address
8490 La Salle Dr
Milton, FL 32583-2439
Phone
(850) 516-1202
NPI assigned
May 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2019

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

Authorized official

Name
Mrs. Mary Ann Lilly Wood, M.S.W.
Title
Owner
Phone
(850) 516-1202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW10234 FL Primary

Addresses

Primary practice location

8490 La Salle Dr
Milton, FL 32583-2439

Mailing address

8490 La Salle Dr
Milton, FL 32583-2439
Phone (850) 516-1202

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559952000000",
    "number": "1932637253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 LA SALLE DR",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325832439",
            "telephone_number": "850-516-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8490 LA SALLE DR",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325832439",
            "telephone_number": "850-516-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2019-06-08",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN LILLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-516-1202",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.