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PEDIATRIC BEHAVIORAL HEALTH ASSOCIATES OF MARION COUNTY
NPI 1861953523
Social Worker - Clinical in Belleview, FL

Active since March 26, 2019
5818 SE AGNEW RD, BELLEVIEW, FL 34420(561) 706-1004(561) 892-0268 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Behavioral Health Associates Of Marion County NPPES

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

PEDIATRIC BEHAVIORAL HEALTH ASSOCIATES OF MARION COUNTY (NPI 1861953523) is a healthcare organization registered as a clinical in Belleview, Florida and active in the NPI registry since March 2019. The organization lists Nikki Woller, President, as its authorized official.

NPPES Registry Identity

NPI1861953523
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePEDIATRIC BEHAVIORAL HEALTH ASSOCIATES, INC.
Location Address5818 SE AGNEW RDBelleview, FL 34420-4020
Mailing Address2735 Se 140th PlSummerfield, FL 34491-2877 · (561) 715-5910 · Fax (561) 892-0268
Phone(561) 706-1004
Fax(561) 892-0268
Organization SubpartNo
Authorized OfficialNikki WollerPresident · (561) 706-1004
Enumeration DateMarch 26, 2019
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1861953523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
5818 SE AGNEW RD, Belleview, FL 34420
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Other Names 1

Doing Business AsPediatric Behavioral Health Associates Of Marion County

Other Identifiers 1

Medicaid767023100FL

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 4

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

PEDIATRIC BEHAVIORAL HEALTH ASSOCIATES, INC.
Clinic/Center (Adolescent and Children Mental Health)
5818 SE AGNEW RD
BELLEVIEW, FL 34420
Marion County (561) 715-5910
SEAL THERAPEUTIC CORPORATION
Counselor (Mental Health)
5818 SE AGNEW RD
BELLEVIEW, FL 34420
Marion County (561) 715-5910
PEDIATRIC BEHAVIORAL HEALTH ASSOCIATES, INC.
Case Manager/Care Coordinator
5818 SE AGNEW RD
BELLEVIEW, FL 34420
Marion County (561) 706-1004
DR. NICOLE WOLLER PH.D., LCSW
Social Worker (Clinical)
5818 SE AGNEW RD
BELLEVIEW, FL 34420
Marion County (561) 706-1004

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 Pediatric Behavioral Health Associates, Inc.'s NPI number?

The NPI number for Pediatric Behavioral Health Associates, Inc. is 1861953523. It was assigned to this organization in the NPPES registry on March 26, 2019. The provider is doing business as Pediatric Behavioral Health Associates Of Marion County.

Where is Pediatric Behavioral Health Associates, Inc. located?

Pediatric Behavioral Health Associates, Inc. is located at 5818 SE Agnew Rd, Belleview, FL 34420. The listed phone number is (561) 706-1004.

What is Pediatric Behavioral Health Associates, Inc.'s specialty?

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

What insurance does Pediatric Behavioral Health Associates, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatric Behavioral Health Associates, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Behavioral Health Associates, Inc. was last updated on March 20, 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.