Individual provider Active NPI

Raymond Thomas Giunta, LCSW-QS

  • Clinical Social Worker
  • Senoia, GA
National Provider Identifier
1356732945
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW006228 Issued in GA
Practice address
125 Wet Stone Rd
Senoia, GA 30276-2232
Phone
(702) 336-4480
NPI assigned
Feb 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW13755 FL
Clinical Social Worker 1041C0700X CSW006228 GA Primary

Addresses

Primary practice location

125 Wet Stone Rd
Senoia, GA 30276-2232

Mailing address

125 Wet Stone Rd
Senoia, GA 30276-2232
Phone (702) 336-4480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170213000765 FL Practitioner - Clinical Social Worker 9335458710 Reassigns benefits to 2 organizations
Practice locations: Fort Myers, FL
I20231002000286 GA Practitioner - Clinical Social Worker 9335458710

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Maryland School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14380 Riva del Lago Dr
Apt 1705
Fort Myers, FL 33907-7829
Phone (702) 336-4480

14380 Riva del Lago Dr Apt
Suite 1705
Fort Myers, FL 33907-7829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Access Counseling & Supportive Services, LLC Clinical CurrentSince Oct 10, 2018 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Sacramento We Care Ministries Past Accepting new patients
Ultima Rehab-FL LLC PastSince May 29, 2019 Accepting new patients

Locations

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

390 Pondella Rd
Ste 9
North Ft Myers, FL 33903
Phone (239) 652-0260

Organizations & group practices 4

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": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1356732945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WET STONE RD",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302762232",
            "telephone_number": "702-336-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WET STONE RD",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302762232",
            "telephone_number": "702-336-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUNTA",
        "first_name": "RAYMOND",
        "middle_name": "THOMAS",
        "credential": "LCSW-QS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-18",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13755",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Senoia, GA

Sources for this page

Verify at the official NPI Registry.