REDEFINE YOUR STORY, LLC (NPI# 1881116374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881116374 |
| Entity Type | Organization |
| Organization Name | REDEFINE YOUR STORY, LLC |
| Practice Address |
1010 N 12th Ave Ste 125 Pensacola FL 32501-3315 |
| Practice Telephone | (850) 483-1331 |
| Practice Fax Number | 8503613437 |
| Mailing Telephone | 8504831331 |
| Mailing Fax Number | 8503613437 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |
| Authorized Official Name | MS. STACEY CHRISTINE STEELE-TAYLOR (CLINICAL SOCIAL WORKER THERAPIST) |
| Authorized Official Telephone | 8504831331 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW11591 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STACEY STEELE-TAYLOR | 1184050197 | 01 |
| Street Address |
1010 N 12TH AVE STE 125 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073764114 | Latoya M. Wallace | Physician Assistant | 1010 N 12th Ave Ste 125, Pensacola, FL 32501-3315 | 2008-10-07 |
| 1992320881 | Access To Care, P.a. | Physician Assistant | 1010 N 12th Ave Ste 125, Pensacola, FL 32501-3315 | 2020-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| Find all providers in zip 32501 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122485 | Sharla Calloway | Social Worker | 101 E Romana St, Pensacola, FL 32502-5689 | 2020-10-19 |
| 1275148900 | Michelle Mackin | Social Worker | 8631 Messick St, Pensacola, FL 32534-1016 | 2020-09-10 |
| 1326650490 | Christine Collett | Social Worker | 9895 Rail Cir, Pensacola, FL 32507-7211 | 2020-08-20 |
| 1710595921 | Brandi Melissa Helmly | Social Worker | 4532 Tradewinds Pl, Pensacola, FL 32514-6772 | 2020-07-14 |
| 1093338105 | Teri T Perkins Lcsw LLC | Social Worker | 7100 Plantation Road, Ste 11, Pensacola, FL 32504-4206 | 2020-05-22 |
| 1134757313 | Deborah Hope Solano | Social Worker | 1028 Underwood Ave, Pensacola, FL 32504-8924 | 2020-04-01 |
| 1902446529 | Joseph Montano Jr. | Social Worker | 4400 Bayou Blvd Ste 51, Pensacola, FL 32503-1909 | 2020-01-11 |
| 1871134494 | Amanda Leigh Haggard | Social Worker | 5435 Japonica Ave, Pensacola, FL 32507-8848 | 2019-10-04 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1396394540 | Tiffany Chen | Social Worker | 9300 Camberwell Rd, Pensacola, FL 32514-5837 | 2019-09-10 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.