Individual provider Active NPI

Joseph Ryan Caggiano, M.S., MSW,LCSW

  • Clinical Social Worker
  • Tavares, FL
National Provider Identifier
1649940834
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22612 Issued in FL
Practice address
819 W Main St Ste a
Tavares, FL 32778-3131
Phone
(321) 800-8439
NPI assigned
Sep 17, 2021
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 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 SW22612 FL Primary
Clinical Social Worker 1041C0700X FL

Addresses

Primary practice location

819 W Main St Ste a
Tavares, FL 32778-3131

Mailing address

201 Windemere Ave
Eustis, FL 32726-5536
Phone (352) 409-7328

Other practice location 1

201 Windemere Ave
Eustis, FL 32726-5536
Phone (352) 409-7328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240207002097 FL Practitioner - Clinical Social Worker 5395188247 Reassigns benefits to 1 organization
I20250919003159 OH Practitioner - Clinical Social Worker 5395188247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SW22612FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
One More Light Counseling & Wellness LLC CurrentSince Jan 28, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Mar 5, 2024 Accepting new patients
Shine Medical Providers PC Single Specialty Past Accepting new patients

Locations

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

819 W Main St
#A
Tavares, FL 32778
Phone (321) 800-8439

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

Organizations & group practices 3

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": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1649940834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WINDEMERE AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265536",
            "telephone_number": "352-409-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W MAIN ST STE A",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783131",
            "telephone_number": "321-800-8439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Windemere Ave",
            "address_purpose": "LOCATION",
            "city": "Eustis",
            "state": "FL",
            "postal_code": "327265536",
            "country_code": "US",
            "telephone_number": "352-409-7328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAGGIANO",
        "first_name": "JOSEPH",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "M.S., MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-17",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22612",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.