Individual provider Active NPI

Jacqueline Michelle Warner Garman, LCSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1659774990
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10745 Issued in FL
Practice address
105 S Albany Ave
Tampa, FL 33606-1710
Phone
(813) 922-8237
Fax
(813) 254-3092
NPI assigned
Oct 1, 2014
Last updated
Jan 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 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 SW10745 FL Primary

Addresses

Primary practice location

105 S Albany Ave
Tampa, FL 33606-1710

Mailing address

11336 Jim CT
Riverview, FL 33569-5965
Phone (813) 335-7431

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
I20141219001574 FL Practitioner - Clinical Social Worker 5193048338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1602 N Florida Ave
Tampa, FL 33602-2616
Phone (813) 922-8237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW10745FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jacqueline Warner Garman, LCSW, PA Clinical CurrentSince Jan 1, 2016 Accepting new patients

Locations

1006 W Platt St
Tampa, FL 33606
Phone (727) 808-4818

105 S Albany Ave
Tampa, FL 33606
Phone (727) 808-4818

1602 N Florida Ave
Tampa, FL 33602
Phone (813) 922-8237

3333 W Kennedy Blvd
Ste 106
Tampa, FL 33609
Phone (813) 354-9444

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1659774990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11336 JIM CT",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695965",
            "telephone_number": "813-335-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S ALBANY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061710",
            "telephone_number": "813-922-8237",
            "fax_number": "813-254-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER GARMAN",
        "first_name": "JACQUELINE",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.