BOLD FREEDOM LLC
NPI 1205763802
Social Worker - Clinical in Plantation, FL

Active since May 06, 2026
1121 NW 111TH AVE, PLANTATION, FL 33322(954) 826-5979 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bold Freedom Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOLD FREEDOM LLC (NPI 1205763802) is a healthcare organization registered as a clinical in Plantation, Florida and active in the NPI registry since May 2026. The organization lists Chevalene Palmer Barnes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205763802
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBOLD FREEDOM LLC
Location Address1121 NW 111TH AVEPlantation, FL 33322-7826
Mailing Address1121 Nw 111th AvePlantation, FL 33322-7826 · (954) 826-5979
Organization SubpartNo
Authorized OfficialChevalene Palmer BarnesCeo · (954) 826-5979
Enumeration DateMay 6, 2026
NPPES CertifiedMay 6, 2026
NPI 1205763802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
1121 NW 111TH AVE, Plantation, FL 33322

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1121 NW 111TH AVE
PLANTATION, FL 33322
Social Worker (Clinical)
1121 NW 111TH AVE
PLANTATION, FL 33322
Social Worker (Clinical)
1121 NW 111TH AVE
PLANTATION, FL 33322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bold Freedom LLC's NPI number?

The NPI number for Bold Freedom LLC is 1205763802. It was assigned to this organization in the NPPES registry on May 6, 2026.

Where is Bold Freedom LLC located?

Bold Freedom LLC is located at 1121 NW 111th Ave, Plantation, FL 33322. The listed phone number is (954) 826-5979.

What is Bold Freedom LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Bold Freedom LLC was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.