Scott Thomas Bleakley, LCSW
Individual provider Active NPI Clinical Social Worker · Celebration, FL
NPI 1013072008 · NPPES record last updated Jan 7, 2026
Key facts
- NPI
- 1013072008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW21441 (FL)
- Practice address
- 1530 Celebration Blvd Ste 405
Celebration, FL 34747-5165 - Phone
- (833) 769-3524
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Personal Recovery Network LLC
Practice addresses (Care Compare)
1530 Celebration Blvd
Suite 405
Celebration, FL 34747-5165
Phone (321) 559-7015
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230822002514 | FL | Practitioner - Clinical Social Worker | 4183616816 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1071 | NH | MD | Chiropractor |
Practice roles (2 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Current |
Accepting new patients | |
| Joseph a Ruggieri | Past | Accepting new patients |
Locations
1530 Celebration Blvd
Ste 405
Kissimmee, FL 34747
Phone (321) 559-7015
260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
Networks
- FL PPO
- FL HMO C-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- AL HMO D-SNP
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- FL HMO
- AL HMO
- FL HMO D-SNP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW21441 | FL | Yes |
| Clinical Social Worker | 1041C0700X | 1071 | NH |
Addresses
Primary practice location
1530 Celebration Blvd Ste 405
Celebration, FL 34747-5165
Mailing address
1530 Celebration Blvd Ste 405
Celebration, FL 34747-5165
Phone (833) 769-3524
Other practice location 1
867 Lafayette Rd
Seabrook, NH 03874-4217
Phone (603) 474-3332 ext. 104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30423171 | Medicaid | NH | |
| P08033 | Other | MA | BCBS |
| 144001431NH02 | Other | NH | BCBS |
Other providers in Celebration, FL
- Courtney Collard Beville
- Usman Ataullah Bhatti
- David Allen Bingham Jr.
- Mathew Biskup
- Gabriela Ivania Blandon-Castillo
- Christine Y Blick
- Kevin M Boerner
- Jonathan David Bohner
- Richard Bosso
- Natalie Jill Bowles
All providers in Celebration, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.