Individual provider Active NPI

William G Nauman, LCSW

  • Clinical Social Worker
  • Melbourne, FL
National Provider Identifier
1073718649
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7845 Issued in FL
Practice address
1370 Bedford Dr Ste 106
Melbourne, FL 32940-1993
Phone
(321) 253-8887
Fax
(321) 253-8878
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 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 SW7845 FL Primary

Addresses

Primary practice location

1370 Bedford Dr Ste 106
Melbourne, FL 32940-1993

Mailing address

1370 Bedford Dr Ste 106
Melbourne, FL 32940-1993
Phone (321) 253-8887

Other identifiers 1

IdentifierTypeStateIssuer
SW7845OtherFLSTATE OF FLORIDA DEPT OF

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
I20111115000240 FL Practitioner - Clinical Social Worker 6103090808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baytree Behavioral Health PAGroup PAC ID 0244298313, 7 clinicians

Practice addresses (Care Compare)

1370 Bedford Dr
Suite 106
Melbourne, FL 32940-1993
Phone (321) 253-8887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW7845FLMDClinical Social Worker
2616GAMDSurgical Assistant
2314GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Health Services, Inc Clinical Past Accepting new patients

Organizations & group practices 2

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1073718649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 BEDFORD DR STE 106",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401993",
            "telephone_number": "321-253-8887",
            "fax_number": "321-253-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 BEDFORD DR STE 106",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401993",
            "telephone_number": "321-253-8887",
            "fax_number": "321-253-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUMAN",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPT OF",
            "identifier": "SW7845",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.