Individual provider Active NPI

Velma Penermon Stevens, MSW, ACSW, LCSW

  • Clinical Social Worker
  • Panama City, FL
National Provider Identifier
1669713434
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17962 Issued in FL
Practice address
2711 W 15TH St
Panama City, FL 32401-1366
Phone
(850) 769-6001
NPI assigned
Mar 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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 SW17962 FL Primary

Addresses

Primary practice location

2711 W 15TH St
Panama City, FL 32401-1366

Mailing address

267 John Knox Rd Ste 113
Tallahassee, FL 32303-6628
Phone (850) 212-3796

Other practice location 1

267 John Knox Rd Ste 113
Tallahassee, FL 32303-6628
Phone (850) 212-3796

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
I20220425002552 FL Practitioner - Clinical Social Worker 2769879527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chrysalis Center, Inc.Group PAC ID 8325186646, 36 clinicians

Practice addresses (Care Compare)

3800 W Broward Blvd
Suite 100
Fort Lauderdale, FL 33312-1018
Phone (954) 587-1008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Center, LLC CurrentSince Nov 1, 2023 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 29, 2023 Accepting new patients
Soulistic Counseling & Therapeutic Services CurrentSince Jul 31, 2023 Accepting new patients
Florida Therapy Services, Inc PastSince Jul 17, 2021 Accepting new patients

Locations

3800 W Broward Blvd
Ste 100
Ft Lauderdale, FL 33312

2944 Penn Ave
Ste L
Marianna, FL 32448
Phone (850) 526-5500

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

421 W Oak Ave
Panama City, FL 32401
Phone (850) 215-6007

267 John Knox Rd
Ste 113
Tallahassee, FL 32303
Phone (850) 212-3796

1713 Mahan Dr
Tallahassee, FL 32308

Organizations & group practices 4

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": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1669713434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 JOHN KNOX RD STE 113",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036628",
            "telephone_number": "850-212-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 W 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011366",
            "telephone_number": "850-769-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "267 John Knox Rd Ste 113",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323036628",
            "country_code": "US",
            "telephone_number": "850-212-3796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "VELMA",
        "middle_name": "PENERMON",
        "name_prefix": "Mrs.",
        "credential": "MSW, ACSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.