Individual provider Active NPI

Marylois P Altmann, LCSW

  • Clinical Social Worker
  • Stuart, FL
National Provider Identifier
1154994804
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18738 Issued in FL
Practice address
218 SE Osceola St
Stuart, FL 34994-2211
Phone
(617) 797-6642
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW18738 FL Primary

Addresses

Primary practice location

218 SE Osceola St
Stuart, FL 34994-2211

Mailing address

2718 SW Mariposa Cir
Palm City, FL 34990-6064
Phone (617) 797-6642

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Office Satchell Counseling, LLC

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
I20211014001103 FL Practitioner - Clinical Social Worker 0446658942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

532 S Colorado Ave
Stuart, FL 34994-3014
Phone (617) 797-6642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW18738FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marylois Altmann, Inc CurrentSince Jul 8, 2021 Accepting new patients

Locations

218 SE Osceola St
Stuart, FL 34994
Phone (617) 797-6642

532 S Colorado Ave
Stuart, FL 34994

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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1154994804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 SW MARIPOSA CIR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349906064",
            "telephone_number": "617-797-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942211",
            "telephone_number": "617-797-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMANN",
        "first_name": "MARYLOIS",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Office",
            "affiliation": "Y",
            "affiliationName": "Satchell Counseling, LLC",
            "address_1": "218 SE Osceola St",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349942211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.