Individual provider Active NPI

Dorrit Ram, LCSW

  • Clinical Social Worker
  • Winter Park, FL
National Provider Identifier
1083045017
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14029 Issued in FL
Practice address
2100 Lee Rd Ste a
Winter Park, FL 32789-1862
Phone
(407) 644-7593
Fax
(407) 209-0289
NPI assigned
Dec 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 089178-1 NY
Clinical Social Worker 1041C0700X SW14029 FL Primary

Addresses

Primary practice location

2100 Lee Rd Ste a
Winter Park, FL 32789-1862

Mailing address

2100 Lee Rd Ste a
Winter Park, FL 32789-1862
Phone (407) 644-7593

Other identifiers 1

IdentifierTypeStateIssuer
089178-1MedicaidNY

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
I20170301000893 FL Practitioner - Clinical Social Worker 2769766278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

600 E Colonial Dr
Suite 220
Orlando, FL 32803-4650
Phone (858) 255-4380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089178-1NYMDSocial Worker
SW14029FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Free Spirit Counseling LLC Clinical CurrentSince May 17, 2020 Accepting new patients

Locations

612 E Colonial Dr
Ste 390
Orlando, FL 32803
Phone (407) 504-1869

Organizations & group practices 1

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": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1083045017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LEE RD STE A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891862",
            "telephone_number": "407-644-7593",
            "fax_number": "407-209-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LEE RD STE A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891862",
            "telephone_number": "407-644-7593",
            "fax_number": "407-209-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAM",
        "first_name": "DORRIT",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089178-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089178-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.