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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRANCH LANE PSYCHOTHERAPY
NPI 1447125869
Social Worker - Clinical in Ponte Vedra Beach, FL

Active since October 07, 2025
90 FORT WADE RD STE 100, PONTE VEDRA BEACH, FL 32081(904) 201-9851 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2026, May 28, 2026, Oct 7, 2025 (3 updates tracked since 2025).

About Branch Lane Psychotherapy NPPES

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

BRANCH LANE PSYCHOTHERAPY (NPI 1447125869) is a healthcare organization registered as a clinical in Ponte Vedra Beach, Florida and active in the NPI registry since October 2025. The organization maintains a secondary practice location in New York and lists Erica Oppenheimer, Manager, as its authorized official.

NPPES Registry Identity

NPI1447125869
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBRANCH LANE PSYCHOTHERAPY
Location Address90 FORT WADE RD STE 100Ponte Vedra Beach, FL 32081-5114
Mailing Address90 Fort Wade Rd Ste 100Ponte Vedra Beach, FL 32081-5114 · (347) 377-0973
Phone(904) 201-9851
Organization SubpartNo
Authorized OfficialErica OppenheimerManager · (347) 377-0973
Enumeration DateOctober 7, 2025
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1447125869 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.
90 FORT WADE RD STE 100, Ponte Vedra Beach, FL 32081
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Secondary Practice Location 1

Location 1248 W 35th St Rm 406New York, NY 10001-2513 · Phone (347) 377-0973

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

INTEGRATED HEALTH CLINICAL COUNSELING P.L.L.C.
Counselor (Mental Health)
90 FORT WADE RD STE 100
PONTE VEDRA, FL 32081
St. Johns County (734) 720-9782
TRUNORTH WORK/LIFE SOLUTIONS
Case Management
90 FORT WADE RD STE 100
PONTE VEDRA, FL 32081
St. Johns County (757) 469-1155
LINDSAY YUDIN
Behavior Technician
90 FORT WADE RD STE 100
PONTE VEDRA, FL 32081
St. Johns County (904) 736-1370
KARL KUNZI LPC, ACS, SST
Counselor (Mental Health)
90 FORT WADE RD STE 100
PONTE VEDRA, FL 32081
St. Johns County (734) 720-9782
JORGE ENRIQUE DE LA ROTTA SOTO APRN
Nurse Practitioner (Family)
90 FORT WADE RD STE 100
PONTE VEDRA, FL 32081
St. Johns County (904) 377-2675
PATTERSON BEHAVIORAL HEALTH LLC
Psychologist (Clinical)
90 FORT WADE RD STE 100
PONTE VEDRA, FL 32081
St. Johns County (904) 351-6342
DEVON PATTERSON PHD
Psychologist (Clinical)
90 FORT WADE RD STE 100
PONTE VEDRA, FL 32081
St. Johns County (904) 351-6342
DR. JORGE ANDRES DIAZ M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
90 FORT WADE RD STE 100
PONTE VEDRA BEACH, FL 32081
St. Johns County (904) 466-8916

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 Branch Lane Psychotherapy's NPI number?

The NPI number for Branch Lane Psychotherapy is 1447125869. It was assigned to this organization in the NPPES registry on October 7, 2025.

Where is Branch Lane Psychotherapy located?

Branch Lane Psychotherapy is located at 90 Fort Wade Rd Ste 100, Ponte Vedra Beach, FL 32081. The listed phone number is (904) 201-9851.

What is Branch Lane Psychotherapy'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 Branch Lane Psychotherapy was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.