Individual provider Active NPI

Joene Graven Sussex, LCSW

  • Clinical Social Worker
  • Lakeland, FL
National Provider Identifier
1508166067
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9232 Issued in FL
Practice address
1815 Crystal Lake Dr
Lakeland, FL 33801-5979
Phone
(863) 701-7373
NPI assigned
Oct 29, 2010
Last updated
Oct 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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 SW9232 FL Primary

Addresses

Primary practice location

1815 Crystal Lake Dr
Lakeland, FL 33801-5979

Mailing address

37423 Laurel Hammock Dr
Zephyrhills, FL 33541-4253
Phone (863) 608-0332

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
I20110926000227 FL Practitioner - Clinical Social Worker 8224209168 Reassigns benefits to 1 organization
Practice locations: Zephyrhills, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37423 Laurel Hammock Dr
Zephyrhills, FL 33541-4253
Phone (863) 701-7373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joene Sussex LCSW PL Clinical CurrentSince Mar 15, 2025 Accepting new patients

Locations

4142 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 200-8694

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1508166067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37423 LAUREL HAMMOCK DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335414253",
            "telephone_number": "863-608-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 CRYSTAL LAKE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015979",
            "telephone_number": "863-701-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSEX",
        "first_name": "JOENE",
        "middle_name": "GRAVEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.