Active NPI
Tammy J Clevenger, LCSW
- Clinical Social Worker
- Fort Myers, FL
National Provider Identifier
1164033080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW14351
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunspire Health Florida, LLC | Current | 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.
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- NPI 1619308756
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.