Individual provider Active NPI

Connie Valenti

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1679172514
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20604 Issued in FL
Practice address
3224 Bee Ridge Rd
Sarasota, FL 34239-7201
Phone
(941) 924-1323
NPI assigned
Oct 21, 2020
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ISW15038 FL
Clinical Social Worker 1041C0700X SW20604 FL Primary

Addresses

Primary practice location

3224 Bee Ridge Rd
Sarasota, FL 34239-7201

Mailing address

3224 Bee Ridge Rd
Sarasota, FL 34239-7201
Phone (941) 926-2959

Other names 1

  • Connie Taylor Former name

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
I20221212002774 FL Practitioner - Clinical Social Worker 6608245782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samaritan Counseling Services of the Gulf Coast IncGroup PAC ID 1456314343, 13 clinicians

Practice addresses (Care Compare)

1670 Main St
Sarasota, FL 34236-5838
Phone (941) 926-2959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW15038FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Services of the Gulf Coast Inc Mental Health CurrentSince Dec 6, 2022 Accepting new patients

Locations

14305 Covenant Way
Lakewood Ranch, FL 34202

7341 Professional Pkwy
Ste 2A
Lakewood Ranch, FL 34240

1670 Main St
Sarasota, FL 34236
Phone (941) 315-5588

3224 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 284-8964

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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1679172514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397201",
            "telephone_number": "941-926-2959",
            "fax_number": "941-929-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397201",
            "telephone_number": "941-924-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTI",
        "first_name": "CONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "ISW15038",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "TAYLOR",
            "credential": "LCSW, MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.