Individual provider Active NPI

Paige Griffin Eckelkamp, LCSW

  • Clinical Social Worker
  • St Petersburg, FL
National Provider Identifier
1235953266
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23818 Issued in FL
Practice address
7351 18TH St N
St Petersburg, FL 33702-4925
Phone
(908) 616-3576
NPI assigned
Nov 15, 2024
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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 SW23818 FL Primary

Addresses

Primary practice location

7351 18TH St N
St Petersburg, FL 33702-4925

Mailing address

7351 18TH St N
St Petersburg, FL 33702-4925
Phone (908) 616-3576

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
I20250217001360 FL Practitioner - Clinical Social Worker 0547790826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A and B Counseling Services LLCGroup PAC ID 6103152269, 73 clinicians

Practice addresses (Care Compare)

3356 Laurel Oak St
Fort Lauderdale, FL 33312-6396
Phone (954) 533-2306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW23818FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A & B Counseling Services LLC CurrentSince Mar 18, 2025 Accepting new patients
Mtca Psychological Services P.a. CurrentSince Dec 31, 2024 Accepting new patients
A & B Counseling LLC PastSince Mar 18, 2025 Accepting new patients

Locations

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

1450 Venice East Blvd
Venice, FL 34292
Phone (941) 234-4577

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": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1235953266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7351 18TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024925",
            "telephone_number": "908-616-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7351 18TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024925",
            "telephone_number": "908-616-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKELKAMP",
        "first_name": "PAIGE",
        "middle_name": "GRIFFIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.