Active NPI
Annie Altenor, MSW, LCSW-QS
- Clinical Social Worker
- Sarasota, FL
National Provider Identifier
1194363697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW14447
- Practice address
- 2503 S Scarlet Oak CT
Sarasota, FL 34232-6120 - Phone
- (954) 600-0089
- NPI assigned
- Dec 15, 2019
- Sex
- Female
- 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 | SW14447 | FL | Primary |
Addresses
Primary practice location
2503 S Scarlet Oak CT
Sarasota, FL 34232-6120
Mailing address
2503 S Scarlet Oak CT
Sarasota, FL 34232-6120
Phone (954) 600-0089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW14447 | Other | FL | PROFESSION LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240904001938 | FL | Practitioner - Clinical Social Worker | 6507306628 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW14447 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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": "1576368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576368000000",
"number": "1194363697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2503 S SCARLET OAK CT",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342326120",
"telephone_number": "954-600-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2503 S SCARLET OAK CT",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342326120",
"telephone_number": "954-600-0089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTENOR",
"first_name": "ANNIE",
"credential": "MSW, LCSW-QS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-15",
"last_updated": "2019-12-15",
"certification_date": "2019-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW14447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSION LICENSE",
"identifier": "SW14447",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.