Individual provider Active NPI

Jennifer M. Gonatos, MSW, LCSW

  • Clinical Social Worker
  • Largo, FL
National Provider Identifier
1144534835
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 10404 Issued in 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
Last updated
Nov 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 10404 FL Primary
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 1

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

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
I20120412000302 FL Practitioner - Clinical Social Worker 1153513197 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 10404FLMDClinical Social Worker
34006037AINMDClinical Social Worker

Practice roles

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

Locations

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

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

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 281-9390

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 443-2010

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) 319-0775

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

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1144534835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 BRYAN DAIRY RD STE 275",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771260",
            "telephone_number": "727-457-5614",
            "fax_number": "727-635-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 BRYAN DAIRY RD STE 275",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771260",
            "telephone_number": "727-457-5614",
            "fax_number": "727-635-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONATOS",
        "first_name": "JENNIFER",
        "middle_name": "M.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10404",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006037A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jennifer.GonatosLCSW@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Behavioral Health Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.