Individual provider Active NPI

Eric Schleich, LCSW

  • Clinical Social Worker
  • St Petersburg, FL
National Provider Identifier
1306275185
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 8777 Issued in FL
Practice address
710 94TH Ave N Ste 305
St Petersburg, FL 33702-2452
Phone
(727) 642-3547
NPI assigned
Nov 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 8777 FL Primary

Addresses

Primary practice location

710 94TH Ave N Ste 305
St Petersburg, FL 33702-2452

Mailing address

4697 48TH Ave N
St Petersburg, FL 33714-2831
Phone (727) 642-3547

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
I20150310001261 FL Practitioner - Clinical Social Worker 3577889534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

710 94TH Ave N
Suite 305
St Petersburg, FL 33702-2452
Phone (352) 507-8075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 8777FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Healing of Pinellas LLC Clinical CurrentSince Jul 1, 2016 Accepting new patients
Imagine Life, LLC Past Accepting new patients
Alcove Retirement Center III PastSince Feb 1, 2015 Accepting new patients

Locations

5800 49th St N
Ste 102
St Petersburg, FL 33709
Phone (352) 507-8075

710 94th Ave N
Ste 305
St Petersburg, FL 33702
Phone (727) 565-0308

Organizations & group practices 3

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": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1306275185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4697 48TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142831",
            "telephone_number": "727-642-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 94TH AVE N STE 305",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022452",
            "telephone_number": "727-642-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEICH",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-02",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 8777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.