Individual provider Active NPI

Jennifer Faith Gobeli

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1003473919
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14385 Issued in FL
Practice address
8905 Regents Park Dr Ste 230
Tampa, FL 33647-3081
Phone
(727) 314-5468
NPI assigned
May 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW14385 FL Primary

Addresses

Primary practice location

8905 Regents Park Dr Ste 230
Tampa, FL 33647-3081

Mailing address

8905 Regents Park Dr Ste 230
Tampa, FL 33647-3081
Phone (727) 314-5468

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200501002455 FL Practitioner - Clinical Social Worker 4486085685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3030 Starkey Blvd
Suite 246
New Port Richey, FL 34655-2175
Phone (727) 314-5468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Live Hope Thrive Counseling, LLC Clinical CurrentSince Dec 13, 2022 Accepting new patients
Lifespan Services, Inc Clinical PastSince Dec 15, 2021 Accepting new patients

Locations

3030 Starkey Blvd
Ste 246
New Port Richey, FL 34655
Phone (727) 314-5468

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1003473919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 REGENTS PARK DR STE 230",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473081",
            "telephone_number": "727-314-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 REGENTS PARK DR STE 230",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473081",
            "telephone_number": "727-314-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBELI",
        "first_name": "JENNIFER",
        "middle_name": "FAITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-27",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.