Roberta Leigh Welch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17584 Issued in FL

Practice address

137 Hospital Dr NE
Fort Walton Beach, FL 32548-5015

Phone

(850) 833-7500

NPI assigned

Oct 21, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Breeze Counseling, PLLCGroup PAC ID 2466811344, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bay Breeze Counseling, PLLC

  • Clinical Social Worker
  • Niceville, FL
  • NPI 1942921366
  Medicare reassignment Care Compare group
• Bridgeway Center Inc

  • Community/Behavioral Health Agency
  • Fort Walton Beach, FL
  • NPI 1578677076
  Medicare reassignment NPD
• Bridgeway Center, Inc

  • General Practice Physician
  • Fort Walton Beach, FL
  • NPI 1174169080
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1003415076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8517 HIGH SCHOOL BLVD",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325663220",
            "telephone_number": "850-776-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HOSPITAL DR NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485015",
            "telephone_number": "850-833-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "ROBERTA",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Weinberg, FNP
• Lindsay Taylor Weinberg, MD
• Hilton Stephen Weiner, M.D.
• Ayela Denise Weiss
• Oveta L Welch, RN
• Susan M Welch, D.D.S.
• Morgan Dare Wellinski, CCC-SLP
• David Wells
• Wen Wen
• Jennifer Wenthur, APRN

• Clinical Social Worker in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.