Frederick L Fearday, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW3162 Issued in FL

Practice address

2804 W San Rafael St
Tampa, FL 33629-6136

Phone

(813) 420-6696

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: frederick.fearday.1@25119.direct.athenahealth.com

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.

• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047
  Medicare reassignment NPD
• Mary Welsh Foundation, Inc.

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1376055400
  Medicare reassignment NPD
• Robin Foster LMHC LLC

  dba Solutions Counseling Center of Tampa

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1275953291
  Medicare reassignment NPD
• Boley Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Petersburg, FL
  • NPI 1194838839
  NPD (past)
• Foresight Mental Health Group PLLC

  • Counselor
  • Coral Gables, FL
  • NPI 1295401248

  Clinical

  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1467506097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 W SAN RAFAEL ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296136",
            "telephone_number": "813-420-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 W SAN RAFAEL ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296136",
            "telephone_number": "813-420-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARDAY",
        "first_name": "FREDERICK",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW3162",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766499100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "763999600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fazio Eye Institute, PA
• Eric A Fazio, O.D.
• FCC Management Group LLC
• Doris M Feagans, CRNFA
• Calita Feagins, PTA
• Thomas Gerard Fearing, PH.D.
• Lisa Fearn Colon
• Kerrie Fearon Pounall, M.D
• Bryanna Martha Feaste
• Rachael Helen Feathers, MSN, FNP-BC

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.