Individual provider Active NPI

Elena A. Spanos, LCSW

  • Clinical Social Worker
  • Apollo Beach, FL
National Provider Identifier
1346302791
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5979 Issued in FL
Practice address
5719 Tortoise PL
Apollo Beach, FL 33572-3356
Phone
(813) 967-1376
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 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 SW5979 FL Primary

Addresses

Primary practice location

5719 Tortoise PL
Apollo Beach, FL 33572-3356

Mailing address

5719 Tortoise PL
Apollo Beach, FL 33572-3356
Phone (813) 967-1376

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
I20100120000243 FL Practitioner - Clinical Social Worker 7315089992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thriving LaneGroup PAC ID 1355741083, 24 clinicians

Practice addresses (Care Compare)

4933 Tamiami TRL N
Suite 200
Naples, FL 34103-3028
Phone (347) 830-7720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thriving Lane CurrentSince Dec 20, 2024 Accepting new patients

Locations

4933 Tamiami Trl N
Ste 200
Naples, FL 34103
Phone (239) 272-9157

200 2nd Ave S
St Petersburg, FL 33701
Phone (727) 465-8515

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1346302791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5719 TORTOISE PL",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723356",
            "telephone_number": "813-967-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5719 TORTOISE PL",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723356",
            "telephone_number": "813-967-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANOS",
        "first_name": "ELENA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apollo Beach, FL

Sources for this page

Verify at the official NPI Registry.