Active NPI
Caroline Bosarge, LCSW
- Clinical Social Worker
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW24773
- Practice address
- 9995 Gate Pkwy N Ste 100
Jacksonville, FL 32246-0800 - Phone
- (833) 769-3524
- NPI assigned
- Dec 12, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MSW008504 | GA | |
| Clinical Social Worker | 1041C0700X | SW24773 | FL | Primary |
Addresses
Primary practice location
9995 Gate Pkwy N Ste 100
Jacksonville, FL 32246-0800
Mailing address
9995 Gate Pkwy N Ste 100
Jacksonville, FL 32246-0800
Phone (833) 769-3524
Other practice location 1
4849 Paulsen St Ste 209
Savannah, GA 31405-4425
Phone (516) 242-6233
Other practice location 2
45 Lonnie Dr
Richmond Hill, GA 31324-6916
Phone (516) 242-6233
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9995 Gate Pkwy N
Suite 100
Jacksonville, FL 32246-0800
Phone (833) 769-3524
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW24773 | FL | MD | Clinical Social Worker |
| MSW008504 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Current | Accepting new patients |
Locations
9995 Gate Pkwy N
Ste 100
Jacksonville, FL 32246
Phone (904) 981-1616
260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450
4849 Paulsen St
Ste 209
Savannah, GA 31405
Phone (912) 600-8800
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": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1124739040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9995 GATE PKWY N STE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322460800",
"telephone_number": "833-769-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9995 GATE PKWY N STE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322460800",
"telephone_number": "833-769-3524"
}
],
"practiceLocations": [
{
"address_1": "4849 Paulsen St Ste 209",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314054425",
"country_code": "US",
"telephone_number": "516-242-6233",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45 Lonnie Dr",
"address_purpose": "LOCATION",
"city": "Richmond Hill",
"state": "GA",
"postal_code": "313246916",
"country_code": "US",
"telephone_number": "516-242-6233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSARGE",
"first_name": "CAROLINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "MSW008504",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW24773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.