Santricoa Nelson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16155 Issued in FL

Practice address

214 E Washington St
Apt a
Minneola, FL 34715-9227

Phone

(407) 734-3338

Fax

(407) 377-7517

NPI assigned

Sep 5, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Ultima Rehab-FL LLC

  • Geriatric Physical Therapist
  • North Fort Myers, FL
  • NPI 1053970194
  NPD

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1619378908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 WORTHINGTON PL",
            "city": "MASCOTTE",
            "state": "FL",
            "postal_code": "347539742",
            "telephone_number": "321-356-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E WASHINGTON ST",
            "address_2": "APT A",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347159227",
            "telephone_number": "407-734-3338",
            "fax_number": "407-377-7517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4227 Worthington Pl",
            "address_purpose": "LOCATION",
            "city": "Mascotte",
            "state": "FL",
            "postal_code": "347539742",
            "country_code": "US",
            "telephone_number": "321-356-4736 x112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SANTRICOA",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-05",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16155",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "N425792713420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benita Mosca, RCSWI
• Shermiya S Mosley
• Malique Murphy
• My Parents Day Care LLC
• Navarro Medical Centers LLC
• Neola Dental LLC
• Melissa Neu, ATC
• New Beginning Home Health Agency LLC
• New Beginnings Lake County
• Guillermo Emilio Noguera, M.D.

• Clinical Social Worker in Minneola, FL
• Providers in Minneola, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.