Individual provider Active NPI

Christine Peters

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1427846229
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW24545 Issued in FL
Practice address
1945 17TH St Apt C
Sarasota, FL 34234-7520
Phone
(941) 210-0384
Fax
(941) 210-0783
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW24545 FL Primary

Addresses

Primary practice location

1945 17TH St Apt C
Sarasota, FL 34234-7520

Mailing address

3320 Dupre St
Port Charlotte, FL 33980-8574
Phone (330) 730-2765

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
I20250509003223 FL Practitioner - Clinical Social Worker 7618494857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Mental Health Services - FL Gulf SW LLCGroup PAC ID 9234523325, 11 clinicians

Practice addresses (Care Compare)

5350 Gulf of Mexico Dr
Suite 203
Longboat Key, FL 34228-2045
Phone (941) 210-0384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW24545FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carnelian Consulting, LLC Single Specialty CurrentSince Apr 30, 2025 Accepting new patients
Mindful Mental Health Services - FL Gulf SW LLC Clinical CurrentSince Apr 30, 2025 Accepting new patients

Locations

5350 Gulf of Mexico Dr
Ste 203
Longboat Key, FL 34228
Phone (941) 210-0384

1945 17th St
Apt C
Sarasota, FL 34234
Phone (941) 210-0384

Organizations & group practices 2

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": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1427846229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 DUPRE ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808574",
            "telephone_number": "330-730-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 17TH ST APT C",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342347520",
            "telephone_number": "941-210-0384",
            "fax_number": "941-210-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW24545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.