Individual provider Active NPI

Paula G Demauro, LCSW

  • Clinical Social Worker
  • Venice, FL
National Provider Identifier
1407927346
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW2062 Issued in FL
Practice address
1505 Tamiami TRL S
Suite 401a
Venice, FL 34285-5562
Phone
(941) 488-5621
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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 SW2062 FL Primary

Addresses

Primary practice location

1505 Tamiami TRL S
Suite 401a
Venice, FL 34285-5562

Mailing address

1505 Tamiami TRL S
Suite 401a
Venice, FL 34285-5562
Phone (941) 488-5621

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
I20070119000427 FL Practitioner - Clinical Social Worker 6406857333 Practice locations: Venice, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1505 Tamiami S TRL
401A
Venice, FL 34285-5562
Phone (941) 488-5621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly J Miller PSYD Inc PastSince May 21, 2023 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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1407927346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 TAMIAMI TRL S",
            "address_2": "SUITE 401A",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855562",
            "telephone_number": "941-488-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 TAMIAMI TRL S",
            "address_2": "SUITE 401A",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855562",
            "telephone_number": "941-488-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAURO",
        "first_name": "PAULA",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.