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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120412000302 | FL | Practitioner - Clinical Social Worker | 1153513197 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 10404 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Behavioral Health, Inc | Current |
Accepting new patients | |
| Baycare Behavioral Health Inc. | Current |
Accepting new patients | |
| Winter Haven Hospital Inc | Current |
Accepting new patients | |
| Behavioral Health Management Services, Inc. | Current | Accepting new patients | |
| Baycare Behavioral Health Associates LLC | Current |
Accepting new patients | |
| Baycare Behavioral Health Associates LLC | Current | Accepting new patients | |
| Behavioral Health Management Services, Inc. | Current |
Accepting new patients | |
| Behavioral Health Management Services, Inc. | Current |
Accepting new patients | |
| Winter Haven Hospital Inc | Current |
Accepting new patients | |
| Baycare Behavioral Health Inc. | Current | Accepting new patients | |
| St. Vincent Hospital & Health Care Center, Inc. | Past |
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
- jennifer.gonatoslcsw@direct.mybaycare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jennifer.GonatosLCSW@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Behavioral Health Inc. |
Other providers in Largo, FL
- Francis L Golden
- Stacey Marie Golden
- Stacia H Goldey
- Robert F Goldstein
- Alexandria Golliher
- Amy Gonzales
- John Michael Gonzalez
- Veronica Gonzalez
- Anna J Goodwin
- Virginia K Goodwin
All providers in Largo, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.