Individual provider Active NPI

Roene Reigh Zohler, LCSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1073568580
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6022 Issued in FL
Practice address
904 1/2 E Henry Ave
Tampa, FL 33604-7143
Phone
(505) 847-6363
Fax
(727) 216-9655
NPI assigned
May 23, 2006
Last updated
Nov 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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 SW6022 FL Primary

Addresses

Primary practice location

904 1/2 E Henry Ave
Tampa, FL 33604-7143

Mailing address

904 1/2 E Henry Ave
Tampa, FL 33604-7143
Phone (505) 847-6363

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
I20040830000104 FL Practitioner - Clinical Social Worker 2264407790 Practice locations: Tampa, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW6022FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Jewish Family Services Inc Past Accepting new patients
Psychology Center for Wellness LLC Past Accepting new patients
Psychology Services Associates, LLC PastSince Feb 13, 2014 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1073568580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 1/2 E HENRY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336047143",
            "telephone_number": "505-847-6363",
            "fax_number": "727-216-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 1/2 E HENRY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336047143",
            "telephone_number": "505-847-6363",
            "fax_number": "727-216-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOHLER",
        "first_name": "ROENE",
        "middle_name": "REIGH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.