Individual provider Active NPI

Laura Elaine Nessola, MSW, LCSW

  • Clinical Social Worker
  • Homosassa, FL
National Provider Identifier
1194172643
Registry record updated Jan 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13724 Issued in FL
Practice address
155 Douglas St Ste a
Homosassa, FL 34446-3854
Phone
(352) 345-9948
Fax
(352) 503-5183
NPI assigned
May 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2019

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 SW13724 FL Primary

Addresses

Primary practice location

155 Douglas St Ste a
Homosassa, FL 34446-3854

Mailing address

10362 S McClung Loop
Homosassa, FL 34448-5553
Phone (352) 345-9948

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
I20170726001504 FL Practitioner - Clinical Social Worker 3274803176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8536 W Miss Maggie Dr
Homosassa, FL 34448-5306
Phone (352) 345-9948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW13724FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Nessola, MSW, LCSW, LLC Clinical CurrentSince Mar 1, 2019 Accepting new patients

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": "1463184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547337600000",
    "number": "1194172643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10362 S MCCLUNG LOOP",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344485553",
            "telephone_number": "352-345-9948",
            "fax_number": "352-503-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 DOUGLAS ST STE A",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344463854",
            "telephone_number": "352-345-9948",
            "fax_number": "352-503-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESSOLA",
        "first_name": "LAURA",
        "middle_name": "ELAINE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-14",
        "last_updated": "2019-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homosassa, FL

Sources for this page

Verify at the official NPI Registry.