Individual provider Active NPI

Anita D Giannaris, LCSW, PIP

  • Clinical Social Worker
  • Fairhope, AL
National Provider Identifier
1023386166
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3811C Issued in AL
Practice address
913 Plantation Blvd Ste E
Fairhope, AL 36532-2993
Phone
(858) 829-5106
NPI assigned
Dec 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3811C AL Primary
Clinical Social Worker 1041C0700X LW60418275 WA

Addresses

Primary practice location

913 Plantation Blvd Ste E
Fairhope, AL 36532-2993

Mailing address

PO Box 2232
Fairhope, AL 36533-2232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: No
  • 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
I20250501003085 IA Practitioner - Clinical Social Worker 0547698599 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60418275WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
PW-Hospital Bridge Services, LLC PastSince Mar 1, 2020 Accepting new patients

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": "1322956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1023386166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2232",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365332232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 PLANTATION BLVD STE E",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322993",
            "telephone_number": "858-829-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNARIS",
        "first_name": "ANITA",
        "middle_name": "D",
        "credential": "LCSW, PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-04",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3811C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60418275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.