Individual provider Active NPI

Shpresa Kaletsch, LCSW

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1124566971
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14174 Issued in FL
Practice address
6497 Parkland Dr Ste a
Sarasota, FL 34243-4097
Phone
(941) 212-2040
NPI assigned
Feb 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 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 SW14174 FL Primary

Addresses

Primary practice location

6497 Parkland Dr Ste a
Sarasota, FL 34243-4097

Mailing address

6497 Parkland Dr Ste a
Sarasota, FL 34243-4097
Phone (941) 212-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Wellness Therapy, LLC CurrentSince Sep 20, 2022 Accepting new patients
Centerstone of Florida, Inc. PastSince Jul 4, 2021 Accepting new patients

Locations

6497 Parkland Dr
Ste A
Sarasota, FL 34243
Phone (941) 681-4040

6497 Parkland Dr
Sarasota, FL 34243
Phone (941) 212-2040

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": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1124566971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6497 PARKLAND DR STE A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342434097",
            "telephone_number": "941-212-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6497 PARKLAND DR STE A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342434097",
            "telephone_number": "941-212-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALETSCH",
        "first_name": "SHPRESA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.