Individual provider Active NPI

Alyssa Bambard, LCSW

  • Clinical Social Worker
  • Brooksville, FL
National Provider Identifier
1023790201
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9462 Issued in FL
Practice address
15311 Cortez Blvd
Brooksville, FL 34613-6005
Phone
(352) 540-9935
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 9462 FL Primary

Addresses

Primary practice location

15311 Cortez Blvd
Brooksville, FL 34613-6005

Mailing address

2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 532-0002

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Alyssa.BambardLCSW@direct.mybaycare.org Health Information Exchange (HIE)

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
I20230920000764 FL Practitioner - Clinical Social Worker 9234593526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Behavioral Health IncGroup PAC ID 4688649122, 58 clinicians

Practice addresses (Care Compare)

15311 Cortez Blvd
Brooksville, FL 34613-6005
Phone (352) 540-9335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9462FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Behavioral Health, Inc CurrentSince Oct 19, 2023 Accepting new patients
Baycare Behavioral Health Associates LLC CurrentSince Sep 14, 2023 Accepting new patients
Baycare Behavioral Health Associates LLC CurrentSince Sep 14, 2023 Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Oct 19, 2023 Accepting new patients
Baycare Behavioral Health Inc. Past Accepting new patients
Behavioral Health Management Services, Inc. Past Accepting new patients
Baycare Behavioral Health Inc. Past Accepting new patients
Baycare Behavioral Health Inc. Past Accepting new patients

Locations

15311 Cortez Blvd
Brooksville, FL 34613
Phone (352) 467-6529

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

Interoperability endpoints

  • Direct secure messaging: alyssa.bambardlcsw@direct.mybaycare.org

Organizations & group practices 9

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1023790201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-532-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15311 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136005",
            "telephone_number": "352-540-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBARD",
        "first_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "9462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alyssa.BambardLCSW@direct.mybaycare.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15311 Cortez Blvd",
            "city": "Brooksville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346136005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.