Individual provider Active NPI

Ganga Mayee Joyce Wasserman, LCSW

  • Clinical Social Worker
  • Sebastian, FL
National Provider Identifier
1649455957
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6348 Issued in FL
Practice address
7766 Bay St
#11
Sebastian, FL 32958-3427
Phone
(772) 589-7008
Fax
(772) 589-7008
NPI assigned
Jan 4, 2008
Last updated
Feb 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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 SW6348 FL Primary
Clinical Social Worker 1041C0700X LCS12181 CA

Addresses

Primary practice location

7766 Bay St
#11
Sebastian, FL 32958-3427

Mailing address

13537 US Highway 1
#137
Sebastian, FL 32958-3760
Phone (772) 589-7008

Other names 1

  • Joyce Rae Bierman 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
I20080807000487 FL Practitioner - Clinical Social Worker 6800960998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7766 Bay St
Suite 11
Sebastian, FL 32958-3427
Phone (772) 589-7008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS12181CAMDClinical Social Worker
SW6348FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Awareness Counseling Center of the Indian River Inc Clinical CurrentSince Oct 2, 2007 Accepting new patients

Locations

13537 US Highway 1
Sebastian, FL 32958

7766 Bay St
#11
Sebastian, FL 32958
Phone (772) 228-8682

7766 Bay St
Ste 11
Sebastian, FL 32958
Phone (772) 589-7008

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": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1649455957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13537 US HIGHWAY 1",
            "address_2": "#137",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583760",
            "telephone_number": "772-589-7008",
            "fax_number": "772-589-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 BAY ST",
            "address_2": "#11",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583427",
            "telephone_number": "772-589-7008",
            "fax_number": "772-589-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "GANGA MAYEE",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6348",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS12181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "BIERMAN",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.