Active NPI
Laura Ida Anthony, LCSW
- Clinical Social Worker
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW22193
- Practice address
- 7901 4TH St N # 29161
St Petersburg, FL 33702-4305 - Phone
- (727) 428-8288
- Fax
- (727) 295-1938
- NPI assigned
- Jul 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C013404 | NC | |
| Clinical Social Worker | 1041C0700X | 9630 | TN | |
| Clinical Social Worker | 1041C0700X | SW22193 | FL | Primary |
| Clinical Social Worker | 1041C0700X | 0904017875 | VA |
Addresses
Primary practice location
7901 4TH St N # 29161
St Petersburg, FL 33702-4305
Mailing address
12773 Mangrove Forest Dr
Riverview, FL 33579-2455
Phone (727) 428-8288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C013404 | NC | MD | Clinical Social Worker |
| 0904017875 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical Florida PLLC | Clinical | Current | Accepting new patients |
| Cotler Healthcare & Development Inc. | Current | Accepting new patients | |
| Mindful Mental Health Services - FL Gulf SW LLC | Clinical | Current | Accepting new patients |
| Collaborative Counseling Services, PLLC | Mental Health | Current | Accepting new patients |
Locations
901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109
9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467
5350 Gulf of Mexico Dr
Ste 203
Longboat Key, FL 34228
Phone (941) 210-0384
4500 Indianapolis St NE
St Petersburg, FL 33703
Phone (727) 209-4600
2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
301 S McDowell St
Charlotte, NC 28204
Phone (704) 900-0548
10130 Mallard Creek Rd
Ste 300
Charlotte, NC 28262
Phone (704) 944-3533
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.
-
- Clinical Social Worker
- St Petersburg, FL
- NPI 1922605385
Mental Health, NC
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wellington, FL
- NPI 1225075047
-
- Clinical Social Worker
- Longboat Key, FL
- NPI 1568121267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1114404506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12773 MANGROVE FOREST DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335792455",
"telephone_number": "727-428-8288",
"fax_number": "727-295-1938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 4TH ST N # 29161",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024305",
"telephone_number": "727-428-8288",
"fax_number": "727-295-1938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "LAURA",
"middle_name": "IDA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-27",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C013404",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "9630",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW22193",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904017875",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.