Individual provider Active NPI

Sue Carol Singleton, LCSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1164667390
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5679 Issued in FL
Practice address
1834A Jaclif CT
Tallahassee, FL 32308-4400
Phone
(850) 681-6001
Fax
(850) 681-6003
NPI assigned
Dec 2, 2008
Last updated
Nov 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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 SW5679 FL Primary

Addresses

Primary practice location

1834A Jaclif CT
Tallahassee, FL 32308-4400

Mailing address

818 2ND St SE
Moultrie, GA 31768-5518
Phone (229) 454-6496

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
I20090626000118 FL Practitioner - Clinical Social Worker 5496806770 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Therapy Services, Inc CurrentSince Jul 17, 2021 Accepting new patients
Chrysalis Center, LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

3800 W Broward Blvd
Ste 100
Ft Lauderdale, FL 33312

2944 Penn Ave
Ste L
Marianna, FL 32448
Phone (850) 526-5500

421 W Oak Ave
Panama City, FL 32401
Phone (850) 215-6007

6425 Pensacola Blvd
#13
Pensacola, FL 32505
Phone (850) 471-0017

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1164667390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 2ND ST SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317685518",
            "telephone_number": "229-454-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834A JACLIF CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084400",
            "telephone_number": "850-681-6001",
            "fax_number": "850-681-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETON",
        "first_name": "SUE",
        "middle_name": "CAROL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.