Individual provider Active NPI

Mary E Morel, M.A., LCSW

  • Clinical Social Worker
  • Largo, FL
National Provider Identifier
1669544185
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW2722 Issued in FL
Practice address
10225 Ulmerton Rd Ste 8B
Largo, FL 33771-3522
Phone
(727) 586-0636
Fax
(727) 585-6287
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2011

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 SW2722 FL Primary

Addresses

Primary practice location

10225 Ulmerton Rd Ste 8B
Largo, FL 33771-3522

Mailing address

10225 Ulmerton Rd 8B
Largo, FL 33771-3522
Phone (727) 586-0636

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
I20121008000410 FL Practitioner - Clinical Social Worker 5496792822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1090 S Tamiami TRL
Sarasota, FL 34236-9116
Phone (941) 363-0878

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SW2722FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, PC CurrentSince Feb 15, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, P.C. Clinical CurrentSince Feb 15, 2024 Accepting new patients

Locations

417 Corbett St
Belleair, FL 33756
Phone (727) 441-4581

1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005

100 2nd Ave N
Ste 320
St Petersburg, FL 33701
Phone (727) 564-9955

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319241600000",
    "number": "1669544185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD 8B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713522",
            "telephone_number": "727-586-0636",
            "fax_number": "727-585-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD STE 8B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713522",
            "telephone_number": "727-586-0636",
            "fax_number": "727-585-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREL",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "M.A., LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.