Individual provider Active NPI

Brandi Robinson-Thomas

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1952088239
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW18297 Issued in FL
Practice address
8465 Merchants Way Ste 104
Jacksonville, FL 32222-2858
Phone
(904) 379-8675
Fax
(904) 423-0490
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW18297 FL Primary

Addresses

Primary practice location

8465 Merchants Way Ste 104
Jacksonville, FL 32222-2858

Mailing address

43 Knight Boxx Rd Ste 1
Orange Park, FL 32065-7395
Phone (904) 379-8675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ISW18297FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
River'S Edge Counseling, PLLC CurrentSince Jul 2, 2023 Accepting new patients
River'S Edge Counseling, PLLC Clinical CurrentSince Jul 2, 2023 Accepting new patients
River'S Edge Counseling, PLLC Clinical CurrentSince Jul 2, 2023 Accepting new patients

Locations

8465 Merchants Way
Ste 104
Jacksonville, FL 32222
Phone (904) 379-8675

43 Knight Boxx Rd
Ste 1
Orange Park, FL 32065
Phone (904) 379-8675

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1952088239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 KNIGHT BOXX RD STE 1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657395",
            "telephone_number": "904-379-8675",
            "fax_number": "904-423-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8465 MERCHANTS WAY STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222858",
            "telephone_number": "904-379-8675",
            "fax_number": "904-423-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON-THOMAS",
        "first_name": "BRANDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW18297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.