Individual provider Active NPI

Lara Janine Joynes-Whidden

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1437292547
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 6747 Issued in FL
Practice address
4612 N 56TH St
Tampa, FL 33610-7123
Phone
(813) 246-4899
Fax
(813) 246-5119
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW 6747 FL Primary

Addresses

Primary practice location

4612 N 56TH St
Tampa, FL 33610-7123

Mailing address

4612 N 56TH St
Tampa, FL 33610-7123
Phone (813) 246-4899

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
I20231006000441 FL Practitioner - Clinical Social Worker 9032564364 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 6747FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Quality BHS Florida, LLC Clinical CurrentSince Sep 1, 2024 Accepting new patients
Mana Health Partners PA CurrentSince Feb 27, 2024 Accepting new patients

Locations

4250 66th St N
Kenneth City, FL 33709
Phone (350) 250-2435

5860 W Junior College Rd
Key West, FL 33040
Phone (305) 293-1299

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

1317 Edgewater Dr
Orlando, FL 32804
Phone (877) 436-8527

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

2180 10th Ave
Vero Beach, FL 32960
Phone (772) 564-9511

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437292547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 N 56TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107123",
            "telephone_number": "813-246-4899",
            "fax_number": "813-246-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 N 56TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107123",
            "telephone_number": "813-246-4899",
            "fax_number": "813-246-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYNES-WHIDDEN",
        "first_name": "LARA",
        "middle_name": "JANINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 6747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.