Organization Active NPI

Patricia Tirone, LCSW, PLLC

  • Community/Behavioral Health Agency
  • Bonita Springs, FL
National Provider Identifier
1205230349
Registry record updated Aug 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW10864 Issued in FL
Legal business name
PATRICIA TIRONE, LCSW, PLLC
Practice address
3333 Renaissance Blvd Ste 222
Bonita Springs, FL 34134-7008
Phone
(239) 913-6551
Fax
(239) 913-6555
NPI assigned
Oct 17, 2014
Last updated
Aug 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia Tirone, LCSW, BCDNPI 1619083649
Title
Solepropietor
Phone
(239) 913-6552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW10864 FL Primary

Addresses

Primary practice location

3333 Renaissance Blvd Ste 222
Bonita Springs, FL 34134-7008

Mailing address

3333 Renaissance Blvd Ste 222
Bonita Springs, FL 34134-7008
Phone (239) 913-6552

Other identifiers 2

IdentifierTypeStateIssuer
5221329OtherNYAETNA
7401828OtherNYVALUEOPTIONS

National Provider Directory

National Provider Directory

Locations

3333 Renaissance Blvd
Ste 222
Bonita Springs, FL 34134
Phone (239) 913-6551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598745600000",
    "number": "1205230349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 RENAISSANCE BLVD STE 222",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347008",
            "telephone_number": "239-913-6552",
            "fax_number": "239-913-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 RENAISSANCE BLVD STE 222",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347008",
            "telephone_number": "239-913-6551",
            "fax_number": "239-913-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA TIRONE, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A",
        "authorized_official_last_name": "TIRONE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "SOLEPROPIETOR",
        "authorized_official_telephone_number": "239-913-6552",
        "authorized_official_credential": "LCSW, BCD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW10864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5221329",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "7401828",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.