Individual provider Active NPI

Mary Ann Zigouris, LCSW

  • Clinical Social Worker
  • Trinity, FL
National Provider Identifier
1043343494
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8538 Issued in FL
Practice address
2087 Little Rd
Trinity, FL 34655-4421
Phone
(727) 815-7205
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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 SW8538 FL Primary

Addresses

Primary practice location

2087 Little Rd
Trinity, FL 34655-4421

Mailing address

2087 Little Rd
Trinity, FL 34655-4421
Phone (727) 815-7205

Other practice location 1

2370 Oakbend Dr
#1315
Palm Harbor, FL 34683-1780
Phone (727) 230-0366

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Maryann.ZigourisLCSW@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

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
I20070427000030 FL Practitioner - Clinical Social Worker 1658477336 Reassigns benefits to 3 organizations
Practice locations: Trinity, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baycare Behavioral Health IncGroup PAC ID 4688649122, 58 clinicians

Practice addresses (Care Compare)

2087 Little Rd
Trinity, FL 34655-4421
Phone (727) 375-0601

7747 Mitchell Blvd
Suite B
Trinity, FL 34655-4725
Phone (727) 641-6187

7809 Massachusetts Ave
New Port Richey, FL 34653-3028
Phone (727) 841-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW8538FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Management Services, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Baycare Behavioral Health Associates LLC CurrentSince Oct 1, 2019 Accepting new patients
Baycare Behavioral Health Associates LLC Current Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Oct 4, 2010 Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Oct 4, 2010 Accepting new patients

Locations

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

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

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

3503 E Frontage Rd
Tampa, FL 33607
Phone (813) 586-8187

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

2087 Little Rd
Trinity, FL 34655
Phone (727) 203-8888

Interoperability endpoints

  • Direct secure messaging: maryann.zigourislcsw@direct.mybaycare.org

Organizations & group practices 7

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1043343494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554421",
            "telephone_number": "727-815-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2087 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554421",
            "telephone_number": "727-815-7205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2370 Oakbend Dr",
            "address_2": "#1315",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346831780",
            "country_code": "US",
            "telephone_number": "727-230-0366",
            "fax_number": "727-230-0282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIGOURIS",
        "first_name": "MARY ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Maryann.ZigourisLCSW@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.