Active NPI
Casey Fletcher, LCSW
- Clinical Social Worker
- Milton, FL
National Provider Identifier
1265155667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW20544
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Rosa Counseling Center LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.