Organization Active NPI

Christine Herman Acsw LCSW LLC

  • Clinical Social Worker
  • Ormond Beach, FL
National Provider Identifier
1962600510
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5932 Issued in FL
Legal business name
CHRISTINE HERMAN ACSW LCSW LLC
Practice address
570 Memorial Cir
Suite 310
Ormond Beach, FL 32174-5002
Phone
(386) 672-7274
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Christine Barbara Herman, ACSW LCSW
Title
Licensed Clinical Social Worker
Phone
(386) 672-7274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW5932 FL Primary

Addresses

Primary practice location

570 Memorial Cir
Suite 310
Ormond Beach, FL 32174-5002

Mailing address

570 Memorial Cir
Suite 310
Ormond Beach, FL 32174-5002
Phone (386) 672-7274

National Provider Directory

National Provider Directory

Locations

1890 Lpga Blvd
Ste 131
Daytona Beach, FL 32117
Phone (386) 274-1302

570 Memorial Cir
Ste 310
Ormond Beach, FL 32174
Phone (386) 290-2993

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1962600510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIR",
            "address_2": "SUITE 310",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745002",
            "telephone_number": "386-672-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIR",
            "address_2": "SUITE 310",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745002",
            "telephone_number": "386-672-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE HERMAN ACSW LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "386-672-7274",
        "authorized_official_credential": "ACSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.