Individual provider Active NPI

Alice Linetta Parrott, LCSW

  • Clinical Social Worker
  • Leesburg, FL
National Provider Identifier
1316716137
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22006 Issued in FL
Practice address
711 W Main St
Leesburg, FL 34748-5128
Phone
(352) 890-3567
Fax
(352) 718-2242
NPI assigned
Dec 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 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 SW22006 FL Primary

Addresses

Primary practice location

711 W Main St
Leesburg, FL 34748-5128

Mailing address

5033 Sawgrass Lake Cir
Leesburg, FL 34748-2211
Phone (352) 890-3567

Other names 1

  • Alice Linetta Parrott Former name

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
I20240213001299 FL Practitioner - Clinical Social Worker 7214370642 Practice locations: Leesburg, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

711 W Main St
Suite 301
Leesburg, FL 34748-5128
Phone (352) 890-3567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW22006FLMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1316716137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5033 SAWGRASS LAKE CIR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482211",
            "telephone_number": "352-890-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W MAIN ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485128",
            "telephone_number": "352-890-3567",
            "fax_number": "352-718-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARROTT",
        "first_name": "ALICE",
        "middle_name": "LINETTA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "PARROTT",
            "middle_name": "LINETTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.