Jennifer M. Gonatos, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Largo, FL

NPI 1144534835 · NPPES record last updated Nov 22, 2022

Key facts

NPI
1144534835
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
SW 10404 (FL)
Practice address
8787 Bryan Dairy Rd Ste 275
Largo, FL 33777-1260
Phone
(727) 457-5614
Fax
(727) 635-7937
NPI assigned
Aug 5, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 12

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120412000302 FL Practitioner - Clinical Social Worker 1153513197 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
SW 10404FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Behavioral Health, Inc Current
since Mar 19, 2012
Accepting new patients
Baycare Behavioral Health Inc. Current
since Mar 19, 2012
Accepting new patients
Winter Haven Hospital Inc Current
since May 25, 2019
Accepting new patients
Behavioral Health Management Services, Inc. Current Accepting new patients
Baycare Behavioral Health Associates LLC Current
since May 25, 2019
Accepting new patients
Baycare Behavioral Health Associates LLC Current Accepting new patients
Behavioral Health Management Services, Inc. Current
since May 25, 2019
Accepting new patients
Behavioral Health Management Services, Inc. Current
since May 25, 2019
Accepting new patients
Winter Haven Hospital Inc Current
since May 25, 2019
Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Past
since Mar 1, 2010
Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Past Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

1106 Druid Rd S
Ste 201
Clearwater, FL 33756
Phone (727) 442-7181

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

8132 King Helie Blvd
New Port Richey, FL 34653
Phone (727) 834-3959

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

8787 Bryan Dairy Rd
Ste 275
Seminole, FL 33777
Phone (727) 394-5500

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

Interoperability endpoints

  • Direct secure messaging: jennifer.gonatoslcsw@direct.mybaycare.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 10404 FL Yes
Clinical Social Worker 1041C0700X 34006037A IN

Addresses

Primary practice location

8787 Bryan Dairy Rd Ste 275
Largo, FL 33777-1260

Mailing address

8787 Bryan Dairy Rd Ste 275
Largo, FL 33777-1260
Phone (727) 457-5614

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address Jennifer.GonatosLCSW@direct.mybaycare.org Health Information Exchange (HIE) BayCare Behavioral Health Inc.

Other providers in Largo, FL

All providers in Largo, FL · Clinical Social Worker in Florida

Sources for this page

Verify at the official NPI Registry.