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SRL PROFESSIONAL PRACTICE & BEYOND, LLC
NPI 1497594311
Social Worker - Clinical in St Augustine, FL

Active since May 21, 2024
14 MULBERRY ST, ST AUGUSTINE, FL 32084(908) 256-0282 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Srl Professional Practice & Beyond, Llc NPPES

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

SRL PROFESSIONAL PRACTICE & BEYOND, LLC (NPI 1497594311), doing business as Srl Mulberry Management Llc, is a healthcare organization registered as a clinical in St Augustine, Florida and active in the NPI registry since May 2024. The organization lists Shannon Lynch, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1497594311
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSRL PROFESSIONAL PRACTICE & BEYOND, LLC
Location Address14 MULBERRY STSt Augustine, FL 32084-2867
Mailing Address14 Mulberry StSt Augustine, FL 32084-2867 · (908) 256-0282
Phone(908) 256-0282
Organization SubpartNo
Authorized OfficialShannon LynchClinical Social Worker · (908) 256-0282
Enumeration DateMay 21, 2024
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1497594311 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.
14 MULBERRY ST, St Augustine, FL 32084
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Other Names 1

Former Legal Business NameSrl Mulberry Management Llc

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Srl Professional Practice & Beyond, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Srl Professional Practice & Beyond, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shannon Lynch, LCSW
Clinical Social Worker
NPI 1275164683
1848 SE 1ST AVE # 102
Fort Lauderdale, FL 33316
(954) 885-9500
✔ PECOS✔ Accepts Medicare272 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Srl Professional Practice & Beyond, LLC's NPI number?

The NPI number for Srl Professional Practice & Beyond, LLC is 1497594311. It was assigned to this organization in the NPPES registry on May 21, 2024. The provider was formerly known as SRL Mulberry Management LLC.

Where is Srl Professional Practice & Beyond, LLC located?

Srl Professional Practice & Beyond, LLC is located at 14 Mulberry St, St Augustine, FL 32084. The listed phone number is (908) 256-0282.

What is Srl Professional Practice & Beyond, LLC's specialty?

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

Is Srl Professional Practice & Beyond, LLC enrolled in Medicare?

Yes. Srl Professional Practice & Beyond, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Srl Professional Practice & Beyond, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Srl Professional Practice & Beyond, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Srl Professional Practice & Beyond, LLC was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.