Individual provider Active NPI

James C Falduti, LCSW

  • Clinical Social Worker
  • Fort Myers, FL
National Provider Identifier
1174537666
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14534 Issued in FL
Practice address
12590 Whitehall Dr Ste 3
Fort Myers, FL 33907-4680
Phone
(239) 939-9090
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 14534 FL Primary

Addresses

Primary practice location

12590 Whitehall Dr Ste 3
Fort Myers, FL 33907-4680

Mailing address

63 Babcock Ter
Selkirk, NY 12158-1905
Phone (518) 650-5771

Other identifiers 3

IdentifierTypeStateIssuer
C012976OtherNCLICENSED CLINICAL SOCIAL WORKER
R070725-01OtherNYLICENSED CLINICAL SOCIAL WORKER
SW14534OtherFLLICENSED CLINICAL SOCIAL WORKER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20071001000448 NY Practitioner - Clinical Social Worker 7911092341 Reassigns benefits to 1 organization
I20180828003116 FL Practitioner - Clinical Social Worker 7911092341 Reassigns benefits to 3 organizations
I20250530001317 NC Practitioner - Clinical Social Worker 7911092341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

4310 Metro Pkwy
Suite 205
Fort Myers, FL 33916-9416
Phone (239) 223-2751

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14534FLMDClinical Social Worker
063978NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Springs Retirement Village, Inc. CurrentSince Sep 2, 2024 Accepting new patients
Ivan L Mazzorana Jr MD PA CurrentSince Jun 1, 2018 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 25, 2025 Accepting new patients
Dna Comprehensive Therapy Services, LLC Clinical CurrentSince Sep 2, 2024 Accepting new patients
James Falduti LLC Clinical Past Accepting new patients

Locations

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

12590 Whitehall Dr
Ste 3
Fort Myers, FL 33907
Phone (239) 936-9338

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Interoperability endpoints

  • Direct secure messaging: james.falduti.1@13142.direct.athenahealth.com

Organizations & group practices 5

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1174537666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BABCOCK TER",
            "city": "SELKIRK",
            "state": "NY",
            "postal_code": "121581905",
            "telephone_number": "518-650-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12590 WHITEHALL DR STE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074680",
            "telephone_number": "239-939-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALDUTI",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "14534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "C012976",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "R070725-01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "SW14534",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.