Individual provider Active NPI

Casey Fletcher, LCSW

  • Clinical Social Worker
  • Milton, FL
National Provider Identifier
1265155667
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20544 Issued in FL
Practice address
5642 Jones St
Milton, FL 32570-2304
Phone
(850) 626-7779
Fax
(850) 626-7171
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW008229 GA
Clinical Social Worker 1041C0700X SW20544 FL Primary

Addresses

Primary practice location

5642 Jones St
Milton, FL 32570-2304

Mailing address

7707 Beechwood Dr
Pensacola, FL 32514-6286
Phone (832) 216-4899

Other practice location 1

7707 Beechwood Dr
Pensacola, FL 32514-6286
Phone (832) 216-4899

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
I20221117002275 FL Practitioner - Clinical Social Worker 1456729896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Santa Rosa Counseling Center LLC 11 clinicians

Practice addresses (Care Compare)

5642 Jones St
Milton, FL 32570-2304
Phone (850) 626-7779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Counseling Center LLC CurrentSince May 26, 2023 Accepting new patients

Locations

5642 Jones St
Milton, FL 32570
Phone (850) 626-7779

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1265155667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 BEECHWOOD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146286",
            "telephone_number": "832-216-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5642 JONES ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325702304",
            "telephone_number": "850-626-7779",
            "fax_number": "850-626-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7707 Beechwood Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325146286",
            "country_code": "US",
            "telephone_number": "832-216-4899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "CASEY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008229",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.