Individual provider Active NPI

Gayle Marie Popelka, L.C.S.W.

  • Clinical Social Worker
  • Jupiter, FL
National Provider Identifier
1306148754
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 5575 Issued in FL
Practice address
4425 Military TRL
Suite 203
Jupiter, FL 33458-4819
Phone
(561) 747-2775
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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 SW 5575 FL Primary

Addresses

Primary practice location

4425 Military TRL
Suite 203
Jupiter, FL 33458-4819

Mailing address

4425 Military Trail
Suite 203
Jupiter, FL 33458
Phone (561) 747-2775

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
I20160830000491 FL Practitioner - Clinical Social Worker 8527353564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

4425 Military TRL
Suite 203
Jupiter, FL 33458-4817
Phone (239) 223-2751

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 5575FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Springs Retirement Village, Inc. CurrentSince Jan 31, 2022 Accepting new patients
Dna Comprehensive Therapy Services, LLC Clinical CurrentSince Jan 31, 2022 Accepting new patients

Locations

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

4425 Military Trl
Ste 203
Jupiter, FL 33458
Phone (561) 747-2775

Interoperability endpoints

  • Direct secure messaging: gayle.popelka.1@13142.direct.athenahealth.com

Organizations & group practices 2

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": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1306148754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 MILITARY TRAIL",
            "address_2": "SUITE 203",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-747-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 MILITARY TRL",
            "address_2": "SUITE 203",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584819",
            "telephone_number": "561-747-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPELKA",
        "first_name": "GAYLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 5575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.