Active NPI
Elizabeth M Adams, SOCIAL WORKER, CLINI
- Clinical Social Worker
- Venice, FL
National Provider Identifier
1104922335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW5089
- Practice address
- 492 Buttonbush Lane
Venice, FL 34293 - Phone
- (941) 441-5137
- Fax
- (305) 453-5144
- NPI assigned
- Sep 15, 2006
- 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 | SW5089 | FL | Primary |
Addresses
Primary practice location
492 Buttonbush Lane
Venice, FL 34293
Mailing address
492 Buttonbush Lane
Venice, FL 34293
Phone (941) 441-5137
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW5089 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultima Rehab-FL LLC | Current | Accepting new patients |
Locations
390 Pondella Rd
Ste 9
North Ft Myers, FL 33903
Phone (239) 652-0260
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.
-
- Geriatric Physical Therapist
- North Fort Myers, FL
- NPI 1053970194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1104922335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492 BUTTONBUSH LANE",
"city": "VENICE",
"state": "FL",
"postal_code": "34293",
"telephone_number": "941-441-5137",
"fax_number": "305-453-5144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 BUTTONBUSH LANE",
"city": "VENICE",
"state": "FL",
"postal_code": "34293",
"telephone_number": "941-441-5137",
"fax_number": "305-453-5144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "ELIZABETH",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "SOCIAL WORKER, CLINI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW5089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.