Individual provider Active NPI

Carey Danna, LCSW

  • Clinical Social Worker
  • Fort Myers, FL
National Provider Identifier
1386287415
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13809 Issued in FL
Practice address
12557 New Brittany Blvd Ste 3
Fort Myers, FL 33907-3651
Phone
(239) 932-2633
NPI assigned
Oct 22, 2019
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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 SW13809 FL Primary

Addresses

Primary practice location

12557 New Brittany Blvd Ste 3
Fort Myers, FL 33907-3651

Mailing address

12557 New Brittany Blvd Ste 3
Fort Myers, FL 33907-3651

Other practice location 1

13560 Troia Dr
Estero, FL 33928-7304
Phone (239) 932-2633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW13809FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Estuary Therapy LLC Clinical Current Accepting new patients

Locations

12557 New Brittany Blvd
Ste 3
Fort Myers, FL 33907
Phone (239) 645-4844

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1386287415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12557 NEW BRITTANY BLVD STE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12557 NEW BRITTANY BLVD STE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073651",
            "telephone_number": "239-932-2633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13560 Troia Dr",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339287304",
            "country_code": "US",
            "telephone_number": "239-932-2633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANNA",
        "first_name": "CAREY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.