Individual provider Active NPI

Laurel Smith Healy, L.C.S.W.

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1164505350
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW1616 Issued in FL
Practice address
2060 Misty Sunrise TRL
Sarasota, FL 34240-9685
Phone
(941) 378-3103
Fax
(941) 378-3100
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW1616 FL Primary

Addresses

Primary practice location

2060 Misty Sunrise TRL
Sarasota, FL 34240-9685

Mailing address

2060 Misty Sunrise TRL
Sarasota, FL 34240-9685
Phone (941) 378-3103

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
I20111220000223 FL Practitioner - Clinical Social Worker 8022284116 Practice locations: Sarasota, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2060 Misty Sunrise Trail
Sarasota, FL 34240-9685
Phone (941) 378-3103

2060 Misty Sunrise TRL
Sarasota, FL 34240-9685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW1616FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164505350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 MISTY SUNRISE TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342409685",
            "telephone_number": "941-378-3103",
            "fax_number": "941-378-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 MISTY SUNRISE TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342409685",
            "telephone_number": "941-378-3103",
            "fax_number": "941-378-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "LAUREL",
        "middle_name": "SMITH",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.