Individual provider Active NPI

Timothy Remmert

  • Clinical Social Worker
  • South Daytona, FL
National Provider Identifier
1316335359
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1635 S Ridgewood Ave Ste 225
South Daytona, FL 32119-8478
Phone
(386) 788-5021
Fax
(386) 788-5021
NPI assigned
Dec 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 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 WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1635 S Ridgewood Ave Ste 225
South Daytona, FL 32119-8478

Mailing address

1635 S Ridgewood Ave Ste 225
South Daytona, FL 32119-8478
Phone (386) 788-5021

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
I20171002003089 FL Practitioner - Clinical Social Worker 3072888049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling and Disability ServicesGroup PAC ID 2769618040, 3 clinicians

Practice addresses (Care Compare)

1635 S Ridgewood Ave
Suite 225
South Daytona, FL 32119-8478
Phone (386) 788-5021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling & Disability Services, LLC Clinical CurrentSince Aug 31, 2017 Accepting new patients

Locations

1635 S Ridgewood Ave
Ste 225
South Daytona, FL 32119
Phone (386) 788-5021

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": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1316335359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 S RIDGEWOOD AVE STE 225",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321198478",
            "telephone_number": "386-788-5021",
            "fax_number": "386-788-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 S RIDGEWOOD AVE STE 225",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321198478",
            "telephone_number": "386-788-5021",
            "fax_number": "386-788-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMMERT",
        "first_name": "TIMOTHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-29",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

Verify at the official NPI Registry.