Individual provider Active NPI

Tammy J Clevenger, LCSW

  • Clinical Social Worker
  • Fort Myers, FL
National Provider Identifier
1164033080
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14351 Issued in FL
Practice address
6313 Corporate CT Ste 130
Fort Myers, FL 33919-3509
Phone
(239) 362-0144
Fax
(239) 362-0710
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 SW14351 FL Primary

Addresses

Primary practice location

6313 Corporate CT Ste 130
Fort Myers, FL 33919-3509

Mailing address

7590 Grady Dr
North Fort Myers, FL 33917-2470
Phone (239) 672-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunspire Health Florida, LLC CurrentSince Apr 21, 2024 Accepting new patients

Locations

14150 Metropolis Ave
Ste 4
South Fort Myers, FL 33912
Phone (239) 768-6060

215 W Verne St
Tampa, FL 33606
Phone (239) 672-6600

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1164033080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7590 GRADY DR",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339172470",
            "telephone_number": "239-672-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6313 CORPORATE CT STE 130",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193509",
            "telephone_number": "239-362-0144",
            "fax_number": "239-362-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "TAMMY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.