Individual provider Active NPI

Ann Depoole, LCSW

  • Social Worker
  • Largo, FL
National Provider Identifier
1437380540
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW Issued in FL
Practice address
13191 Starkey Rd Ste 14
Largo, FL 33773-1400
Phone
(727) 446-8559
Fax
(727) 533-8141
NPI assigned
Aug 6, 2009
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW FL Primary

Addresses

Primary practice location

13191 Starkey Rd Ste 14
Largo, FL 33773-1400

Mailing address

1001 Starkey Rd
#67
Largo, FL 33771-5495
Phone (727) 365-5468

Other practice location 1

7190 Seminole Blvd
Seminole, FL 33772-5935
Phone (727) 466-8559

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@mendingwoundedsouls.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MSWFLMDSocial Worker

Interoperability endpoints

  • Direct secure messaging: info@mendingwoundedsouls.com

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1437380540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 STARKEY RD",
            "address_2": "#67",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715495",
            "telephone_number": "727-365-5468",
            "fax_number": "727-533-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13191 STARKEY RD STE 14",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731400",
            "telephone_number": "727-446-8559",
            "fax_number": "727-533-8141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7190 Seminole Blvd",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337725935",
            "country_code": "US",
            "telephone_number": "727-466-8559",
            "fax_number": "727-533-8141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPOOLE",
        "first_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "MSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mendingwoundedsouls.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13191 Starkey Rd Ste 14",
            "city": "Largo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337731400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.