Individual provider Active NPI

Aynzib Chowdhury, LCSW

  • Clinical Social Worker
  • Maitland, FL
National Provider Identifier
1497570113
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23804 Issued in FL
Practice address
100 E Sybelia Ave Ste 150
Maitland, FL 32751-4773
Phone
(239) 690-6906
NPI assigned
Nov 18, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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 SW23804 FL Primary

Addresses

Primary practice location

100 E Sybelia Ave Ste 150
Maitland, FL 32751-4773

Mailing address

1813 Paradise Dr
Kissimmee, FL 34741-2013
Phone (321) 276-1557

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
I20241204003265 FL Practitioner - Clinical Social Worker 6709312499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

100 E Sybelia Ave
Suite 150
Maitland, FL 32751-4773
Phone (407) 986-7442

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dna Comprehensive Therapy Services, LLC Clinical CurrentSince Nov 5, 2024 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Nov 5, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Feb 28, 2025 Accepting new patients

Locations

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

100 E Sybelia Ave
Ste 150
Maitland, FL 32751
Phone (407) 986-7442

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Interoperability endpoints

  • Direct secure messaging: aynzib.chowdhury.1@13142.direct.athenahealth.com

Organizations & group practices 3

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": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1497570113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 PARADISE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412013",
            "telephone_number": "321-276-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SYBELIA AVE STE 150",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514773",
            "telephone_number": "239-690-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "AYNZIB",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.