OrganizationActive
Active Wellness Group LLC
NPI 1336737675 · Clinical Social Worker · Trenton, FL
Provider details
- NPI number
- 1336737675
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kimberly Herring, Owner(386) 397-0696
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
605 S Main St
Trenton, FL 32693-3236
Phone: (386) 961-9616
Street-level locationGet directions
Mailing address
605 S Main St
Trenton, FL 32693-3236
Additional practice locations (1)
- 871 Sw State Road 47Lake City, FL 32025-0433Phone: (386) 961-9616
Registry dates
- Enumerated
- 2021-01-04
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.