Individual provider Active NPI

Tasha Jeanette Singh, LCSW

  • Clinical Social Worker
  • Valparaiso, FL
National Provider Identifier
1124898564
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22387 Issued in FL
Practice address
55 Kelly Way
Valparaiso, FL 32580-1759
Phone
(704) 516-3050
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluewater Behavioral Health, Inc. 12 clinicians

Practice addresses (Care Compare)

4400 E Hwy 20
Suite 306
Niceville, FL 32578-7703
Phone (850) 797-2598

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
I20240412002225 FL Practitioner - Clinical Social Worker 1759720568 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Healthcare LLC CurrentSince Mar 8, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 5, 2024 Accepting new patients

Locations

15500 Roosevelt Blvd
Ste 101
Clearwater, FL 33760
Phone (727) 214-4622

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW22387 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

55 Kelly Way
Valparaiso, FL 32580-1759

Mailing address

55 Kelly Way
Valparaiso, FL 32580-1759
Phone (704) 516-3050

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 8, 2024.

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1124898564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 KELLY WAY",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325801759",
            "telephone_number": "704-516-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 KELLY WAY",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325801759",
            "telephone_number": "704-516-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "TASHA",
        "middle_name": "JEANETTE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, FL

Sources for this page

Verify at the official NPI Registry.