Individual provider Active NPI

Nancy Groveene Warren, LCSW

  • Clinical Social Worker
  • St Petersburg, FL
National Provider Identifier
1407897416
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
FLSW4966 Issued in FL
Practice address
6161 9TH St N #201
St Petersburg, FL 33703
Phone
(727) 244-9431
Fax
(727) 498-8605
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW4966 FL
Clinical Social Worker 1041C0700X FLSW4966 FL Primary

Addresses

Primary practice location

6161 9TH St N #201
St Petersburg, FL 33703

Mailing address

6161 9TH St N #201
St Petersburg, FL 33703
Phone (727) 244-7431

Other identifiers 1

IdentifierTypeStateIssuer
768624200MedicaidFL

Other names 1

  • Nancy Groveene Shoecraft Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
FLSW4966FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Karen Reese Past Accepting new patients

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1407897416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 9TH ST N #201",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33703",
            "telephone_number": "727-244-7431",
            "fax_number": "727-498-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 9TH ST N #201",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33703",
            "telephone_number": "727-244-9431",
            "fax_number": "727-498-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "NANCY",
        "middle_name": "GROVEENE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW4966",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "FLSW4966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768624200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "SHOECRAFT",
            "middle_name": "GROVEENE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.