Active NPI
Jennifer Suiters, LCSW
- Clinical Social Worker
- Crystal River, FL
National Provider Identifier
1073663118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 18 NE 4TH Ave Unit 1644
Crystal River, FL 34423-1644 - Phone
- (352) 848-3760
- Fax
- (352) 848-3761
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
18 NE 4TH Ave Unit 1644
Crystal River, FL 34423-1644
Mailing address
PO Box 1644
Crystal River, FL 34423-1644
Phone (352) 848-3760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW6272 | Other | FL | LCSW |
| 811549400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1073663118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1644",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344231644",
"telephone_number": "352-848-3760",
"fax_number": "352-848-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 NE 4TH AVE UNIT 1644",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344231644",
"telephone_number": "352-848-3760",
"fax_number": "352-848-3761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUITERS",
"first_name": "JENNIFER",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "SW6272",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "811549400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crystal River, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.