Individual provider Active NPI

Linda Maria Dorremocea, LCSW

  • Clinical Social Worker
  • Lithia, FL
National Provider Identifier
1255663258
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 11721 Issued in FL
Practice address
15829 Fishhawk Falls Dr
Lithia, FL 33547-3857
Phone
(727) 831-0131
Fax
(813) 654-7684
NPI assigned
Feb 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 11721 FL Primary
Counselor 101Y00000X SW 11721 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X SW 11721 FL
Mental Health Counselor 101YM0800X SW 11721 FL
Professional Counselor 101YP2500X SW 11721 FL

Addresses

Primary practice location

15829 Fishhawk Falls Dr
Lithia, FL 33547-3857

Mailing address

15829 Fishhawk Falls Dr
Lithia, FL 33547-3857
Phone (727) 831-0131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 11721FLMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1255663258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15829 FISHHAWK FALLS DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473857",
            "telephone_number": "727-831-0131",
            "fax_number": "813-654-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15829 FISHHAWK FALLS DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473857",
            "telephone_number": "727-831-0131",
            "fax_number": "813-654-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORREMOCEA",
        "first_name": "LINDA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 11721",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "SW 11721",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "SW 11721",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW 11721",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "SW 11721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.