Active NPI
James C Falduti, LCSW
- Clinical Social Worker
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14534
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C012976 | Other | NC | LICENSED CLINICAL SOCIAL WORKER |
| R070725-01 | Other | NY | LICENSED CLINICAL SOCIAL WORKER |
| SW14534 | Other | FL | LICENSED CLINICAL SOCIAL WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14534 | FL | MD | Clinical Social Worker |
| 063978 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonita Springs Retirement Village, Inc. | Current | Accepting new patients | |
| Ivan L Mazzorana Jr MD PA | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Dna Comprehensive Therapy Services, LLC | Clinical | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Myers, FL
- NPI 1316363757
Clinical
-
- Psychiatry Physician
- Ft Myers, FL
- NPI 1790877488
-
- Clinical Social Worker
- Cape Coral, FL
- NPI 1699278937
-
- Skilled Nursing Facility
- Bonita Springs, FL
- NPI 1700126802
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.