Individual provider Active NPI

Suzanne Basinger, MSW, LCSW

  • Clinical Social Worker
  • Winter Garden, FL
National Provider Identifier
1518210590
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8136 Issued in FL
Practice address
13350 W Colonial Dr
Suite 340
Winter Garden, FL 34787-3964
Phone
(407) 797-8310
NPI assigned
Oct 16, 2012
Last updated
Apr 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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 SW8136 FL Primary

Addresses

Primary practice location

13350 W Colonial Dr
Suite 340
Winter Garden, FL 34787-3964

Mailing address

13350 W Colonial Dr
Suite 340
Winter Garden, FL 34787-3964
Phone (407) 797-8310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926000981 FL Practitioner - Clinical Social Worker 7012361058 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Resource Services, Inc. CurrentSince Sep 15, 2023 Accepting new patients

Locations

13350 W Colonial Dr
Ste 340
Winter Garden, FL 34787
Phone (407) 654-4433

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": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1518210590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13350 W COLONIAL DR",
            "address_2": "SUITE 340",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873964",
            "telephone_number": "407-797-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 W COLONIAL DR",
            "address_2": "SUITE 340",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873964",
            "telephone_number": "407-797-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASINGER",
        "first_name": "SUZANNE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.