NPIMap

Organization Active NPI

Francine S Fern, LCSW Consultation & Psychotherapy

  • Clinical Social Worker
  • Sun City Center, FL
National Provider Identifier
1063270072
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FRANCINE S FERN, LCSW CONSULTATION & PSYCHOTHERAPY
Doing business as
Teletherapy for ME plus
Practice address
1647 Sun City Center PLZ Ste 204B
Sun City Center, FL 33573-5334
Phone
(813) 419-4096
Fax
(813) 419-4096
NPI assigned
Mar 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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

Authorized official

Name
Ms. Francine S Fern, LCSW, QSNPI 1740200716
Title
Owner
Phone
(813) 419-4096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1647 Sun City Center PLZ Ste 204B
Sun City Center, FL 33573-5334

Mailing address

16162 Coquina Bay LN
Wimauma, FL 33598-4060
Phone (813) 419-4096

Other names 1

  • Teletherapy for ME plus Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721433600000",
    "number": "1063270072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16162 COQUINA BAY LN",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984060",
            "telephone_number": "813-419-4096",
            "fax_number": "813-419-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 SUN CITY CENTER PLZ STE 204B",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735334",
            "telephone_number": "813-419-4096",
            "fax_number": "813-419-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCINE S FERN, LCSW CONSULTATION & PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A",
        "authorized_official_last_name": "FERN",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-419-4096",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, QS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teletherapy for ME plus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Teletherapy for ME plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.