Individual provider Active NPI

Amoree Lanaha, LCSW

  • Social Worker
  • Ocala, FL
National Provider Identifier
1215920962
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW5440 Issued in FL
Practice address
2609 SW 33Rd St Ste 101
Ocala, FL 34471-7775
Phone
(352) 223-3186
Fax
(352) 620-2889
NPI assigned
Aug 29, 2005
Last updated
Apr 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW5440 FL Primary

Addresses

Primary practice location

2609 SW 33Rd St Ste 101
Ocala, FL 34471-7775

Mailing address

PO Box 2941
Ocala, FL 34478-2941
Phone (352) 223-3186

Other identifiers 1

IdentifierTypeStateIssuer
Z2722OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Opted out of Medicare
Yes, effective Oct 1, 2026 through Oct 1, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041221000276 FL Practitioner - Clinical Social Worker 8022076207 Practice locations: Ocala, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 2941
Ocala, FL 34478-2941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John P McDonough III PastSince Oct 1, 2004 Accepting new patients
GPS II Past Accepting new patients
Adult Counseling & Psychotherapy of Lake County, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1215920962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2941",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344782941",
            "telephone_number": "352-223-3186",
            "fax_number": "352-620-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 SW 33RD ST STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717775",
            "telephone_number": "352-223-3186",
            "fax_number": "352-620-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANAHA",
        "first_name": "AMOREE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW5440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z2722",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.