NPI 1336737675 · live from the CMS NPI Registry
Active Wellness Group LLC
Social Worker, Clinical in Trenton, FL. National Provider Identifier 1336737675, active.
NPI record
| NPI | 1336737675 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 605 S Main St, Trenton, FL 32693 |
| Practice phone | 386-961-9616 |
| Enumerated | January 4, 2021 |
| Last updated | December 16, 2025 |
| Authorized official | Kimberly Herring, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.