Individual provider Active NPI

Kerry Krantz, MSW

  • Clinical Social Worker
  • Inverness, FL
National Provider Identifier
1588266472
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23278 Issued in FL
Practice address
110 S Apopka Ave
Inverness, FL 34452-4837
Phone
(352) 560-7027
NPI assigned
Nov 15, 2020
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 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 SW23278 FL Primary

Addresses

Primary practice location

110 S Apopka Ave
Inverness, FL 34452-4837

Mailing address

110 S Apopka Ave
Inverness, FL 34452-4837
Phone (352) 325-1171

Other practice location 1

3404 N Lecanto Hwy Ste D
Beverly Hills, FL 34465-3569
Phone (352) 560-7027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20250102001816 FL Practitioner - Clinical Social Worker 2466989496 Reassigns benefits to 1 organization
I20250605002982 SC Practitioner - Clinical Social Worker 2466989496 Reassigns benefits to 1 organization
I20260413003513 MA Practitioner - Clinical Social Worker 2466989496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW23278FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Nov 20, 2024 Accepting new patients

Locations

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

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

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": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1588266472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S APOPKA AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524837",
            "telephone_number": "352-325-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S APOPKA AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524837",
            "telephone_number": "352-560-7027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3404 N Lecanto Hwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "FL",
            "postal_code": "344653569",
            "country_code": "US",
            "telephone_number": "352-560-7027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRANTZ",
        "first_name": "KERRY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.