Individual provider Active NPI

Frederick A Stuart, LCSW

  • Clinical Social Worker
  • Naples, FL
National Provider Identifier
1184722985
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6518 Issued in FL
Practice address
6075 Golden Gate Pkwy
Naples, FL 34116-7454
Phone
(239) 455-8500
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

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 SW6518 FL Primary

Addresses

Primary practice location

6075 Golden Gate Pkwy
Naples, FL 34116-7454

Mailing address

1096 Woodshire LN
C-206
Naples, FL 34105-7420
Phone (239) 262-4162

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
I20150921003120 FL Practitioner - Clinical Social Worker 3577870781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David Lawrence Mental Health Center, IncGroup PAC ID 0547257313, 32 clinicians

Practice addresses (Care Compare)

6075 Bathey LN
Naples, FL 34116-7536
Phone (239) 455-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David Lawrence Mental Health Center, Inc CurrentSince Sep 2, 2015 Accepting new patients

Locations

6075 Bathey Ln
Naples, FL 34116
Phone (239) 455-8500

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184722985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 WOODSHIRE LN",
            "address_2": "C-206",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341057420",
            "telephone_number": "239-262-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 GOLDEN GATE PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167454",
            "telephone_number": "239-455-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "FREDERICK",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.