Individual provider Active NPI

Helene Dara Schwartz, MSW, RCSWI

  • Clinical Social Worker
  • Brandon, FL
National Provider Identifier
1669866380
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW 9273 Issued in FL
Practice address
510 Vonderburg Dr
Suite 301
Brandon, FL 33511-5954
Phone
(813) 881-1000
Fax
(813) 689-2684
NPI assigned
Mar 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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 ISW 9273 FL Primary

Addresses

Primary practice location

510 Vonderburg Dr
Suite 301
Brandon, FL 33511-5954

Mailing address

510 Vonderburg Dr
Suite 301
Brandon, FL 33511-5954
Phone (813) 881-1000

Other names 1

  • Helene Dara Russ Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ISW 9273FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Programs of Florida, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1669866380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 VONDERBURG DR",
            "address_2": "SUITE 301",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115954",
            "telephone_number": "813-881-1000",
            "fax_number": "813-689-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 VONDERBURG DR",
            "address_2": "SUITE 301",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115954",
            "telephone_number": "813-881-1000",
            "fax_number": "813-689-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "HELENE",
        "middle_name": "DARA",
        "name_prefix": "Miss",
        "credential": "MSW, RCSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW 9273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELENE",
            "last_name": "RUSS",
            "middle_name": "DARA",
            "credential": "MSW, RCSWI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.