Individual provider Active NPI

Patricia Ellen Tirone, LCSW

  • Clinical Social Worker
  • Bonita Springs, FL
National Provider Identifier
1619083649
Registry record updated Dec 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 10864 Issued in FL
Practice address
27499 Riverview Center Blvd Ste 451
Bonita Springs, FL 34134-4344
Phone
(239) 913-6552
Fax
(239) 913-6555
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 10864 FL Primary
Clinical Social Worker 1041C0700X R025511-1 NY

Addresses

Primary practice location

27499 Riverview Center Blvd Ste 451
Bonita Springs, FL 34134-4344

Mailing address

27499 Riverview Center Blvd Ste 451
Bonita Springs, FL 34134-4344
Phone (239) 913-6552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 10864FLMDClinical Social Worker
R025511-1NYMDClinical Social Worker
025511NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734134400000",
    "number": "1619083649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27499 RIVERVIEW CENTER BLVD STE 451",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344344",
            "telephone_number": "239-913-6552",
            "fax_number": "239-913-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27499 RIVERVIEW CENTER BLVD STE 451",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344344",
            "telephone_number": "239-913-6552",
            "fax_number": "239-913-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRONE",
        "first_name": "PATRICIA",
        "middle_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10864",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R025511-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.