Individual provider Active NPI

Jodi Lynn Kneer, LCSW

  • Clinical Social Worker
  • Clearwater, FL
National Provider Identifier
1629117494
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 5778 Issued in FL
Practice address
51 S Main Ave
Ste 304
Clearwater, FL 33765-3937
Phone
(727) 784-8244
Fax
(727) 287-9302
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 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 SW 5778 FL Primary

Addresses

Primary practice location

51 S Main Ave
Ste 304
Clearwater, FL 33765-3937

Mailing address

51 S Main Ave
Ste 304
Clearwater, FL 33765-3937
Phone (813) 789-5634

Other identifiers 2

IdentifierTypeStateIssuer
243084OtherFLAMERIGROUP
593639872OtherFLGROUP ID

Other names 1

  • Miss Jodi Lynn Maring Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160315002258 FL Practitioner - Clinical Social Worker 5294031316 Practice locations: Clearwater, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

51 S Main Ave
Suite 304
Clearwater, FL 33765-3937
Phone (727) 784-8244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 5778FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
GPS II Past Accepting new patients
John P McDonough III PastSince Oct 1, 2004 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1629117494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 S MAIN AVE",
            "address_2": "STE 304",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653937",
            "telephone_number": "813-789-5634",
            "fax_number": "727-784-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 S MAIN AVE",
            "address_2": "STE 304",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653937",
            "telephone_number": "727-784-8244",
            "fax_number": "727-287-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEER",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 5778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "243084",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID",
            "identifier": "593639872",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "MARING",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.