Individual provider Active NPI

Faheda Rasool, LCSW

  • Clinical Social Worker
  • Fort Myers, FL
National Provider Identifier
1548852940
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18031 Issued in FL
Practice address
9808 Solera Cove Pointe Apt 105
Fort Myers, FL 33908-9749
Phone
(239) 822-8483
NPI assigned
Feb 7, 2021
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 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 SW18031 FL Primary

Addresses

Primary practice location

9808 Solera Cove Pointe Apt 105
Fort Myers, FL 33908-9749

Mailing address

9808 Solera Cove Pointe Apt 105
Fort Myers, FL 33908-9749
Phone (239) 822-8483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA, NC, HI, MA, CA, WY, MI8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20240131001258 FL Practitioner - Clinical Social Worker 4981057502 Reassigns benefits to 2 organizations
I20260309000689 VA Practitioner - Clinical Social Worker 4981057502 Reassigns benefits to 1 organization
I20260311004535 NC Practitioner - Clinical Social Worker 4981057502 Reassigns benefits to 1 organization
I20260313001546 HI Practitioner - Clinical Social Worker 4981057502 Reassigns benefits to 1 organization
I20260313002456 MA Practitioner - Clinical Social Worker 4981057502 Reassigns benefits to 1 organization
I20260316001873 CA Practitioner - Clinical Social Worker 4981057502 Reassigns benefits to 1 organization
I20260325002093 WY Practitioner - Clinical Social Worker 4981057502 Reassigns benefits to 1 organization
I20260327001897 MI Practitioner - Clinical Social Worker 4981057502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

8031 N Tranquility Lake Dr
Delray Beach, FL 33446-3449
Phone (561) 221-5696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW18031FLMDClinical Social Worker
128956CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network Ca PC CurrentSince Jan 31, 2026 Accepting new patients
Brightside Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Talkspace Provider Network PA CurrentSince Jun 22, 2024 Accepting new patients
Sunshine Mental Health Services of SWFL LLC CurrentSince Sep 28, 2021 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 5

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": "1612656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1548852940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 SOLERA COVE POINTE APT 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089749",
            "telephone_number": "239-822-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 SOLERA COVE POINTE APT 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089749",
            "telephone_number": "239-822-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASOOL",
        "first_name": "FAHEDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-07",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.