Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Branch Lane Psychotherapy

Organization Clinical Social Worker · NPI 1447125869

Branch Lane Psychotherapy is a Clinical Social Worker in Ponte Vedra Beach, Florida. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

90 Fort Wade Rd Ste 100
Ponte Vedra Beach, FL 32081-5114
Phone: (904) 201-9851
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 248 W 35th St Rm 406, New York, NY 10001-2513 — (347) 377-0973

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1447125869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erica Oppenheimer — Manager · (347) 377-0973
NPI enumeratedOctober 7, 2025
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address90 Fort Wade Rd Ste 100, Ponte Vedra Beach, FL 32081-5114

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