Individual provider Active NPI

Lisa Beatrice Meotti, MSW

  • Clinical Social Worker
  • Davenport, FL
National Provider Identifier
1104473321
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
439 Chelsea Ave
Davenport, FL 33837-8911
Phone
(850) 525-8995
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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 Primary

Addresses

Primary practice location

439 Chelsea Ave
Davenport, FL 33837-8911

Mailing address

439 Chelsea Ave
Davenport, FL 33837-8911
Phone (850) 525-8995

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
I20200903000267 FL Practitioner - Clinical Social Worker 3476970591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Birch Counseling Services LLC CurrentSince Sep 25, 2022 Accepting new patients
Peak Health LLC CurrentSince Jun 1, 2025 Accepting new patients
Ultima Rehab-FL LLC PastSince May 29, 2019 Accepting new patients
Pro Performance Physical Therapy LLC PastSince Jun 26, 2019 Accepting new patients

Locations

215 Westward Dr
Miami Springs, FL 33166
Phone (305) 885-1792

Organizations & group practices 4

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1104473321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 CHELSEA AVE",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378911",
            "telephone_number": "850-525-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 CHELSEA AVE",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378911",
            "telephone_number": "850-525-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEOTTI",
        "first_name": "LISA",
        "middle_name": "BEATRICE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.