Active NPI
Bahira H Sugarman, MSSW
- Clinical Social Worker
- Gainesville, FL
National Provider Identifier
1295892743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW1270
- Practice address
- 115 NE 7TH Ave
Gainesville, FL 32601-4391 - Phone
- (352) 333-3705
- Fax
- (352) 331-5672
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SW1270 | FL | Primary |
| Marriage & Family Therapist | 106H00000X | MT525 | FL |
Addresses
Primary practice location
115 NE 7TH Ave
Gainesville, FL 32601-4391
Mailing address
115 NE 7TH Ave
Gainesville, FL 32601-4391
Phone (352) 333-3705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z1025 | Other | FL | BLUE CROSS BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1295892743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 NE 7TH AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326014391",
"telephone_number": "352-333-3705",
"fax_number": "352-331-5672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 NE 7TH AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326014391",
"telephone_number": "352-333-3705",
"fax_number": "352-331-5672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGARMAN",
"first_name": "BAHIRA",
"middle_name": "H",
"name_prefix": "Ms.",
"credential": "MSSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW1270",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT525",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Z1025",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.