Individual provider Active NPI

Ginger E. Woods, LCSW

  • Clinical Social Worker
  • Pensacola, FL
National Provider Identifier
1679947352
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 12544 Issued in FL
Practice address
5868 Creek Station Dr BLDG a
Pensacola, FL 32504-8627
Phone
(850) 478-1244
Fax
(850) 478-1894
NPI assigned
Nov 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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 SW 12544 FL Primary

Addresses

Primary practice location

5868 Creek Station Dr BLDG a
Pensacola, FL 32504-8627

Mailing address

2315 W Jackson St
Pensacola, FL 32505-7552
Phone (850) 436-4630

Other practice location 1

5520 Stewart St
Milton, FL 32570-4304
Phone (850) 981-9433

Other identifiers 4

IdentifierTypeStateIssuer
020065200MedicaidFL
KX914OtherFLMCR
13656075OtherCAQH
NXDFCOtherFLBCBS

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
I20190314001004 FL Practitioner - Clinical Social Worker 9537409370 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 12544FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Escambia Community Clinics Inc CurrentSince Feb 10, 2019 Accepting new patients
Escambia Community Clinics, Inc CurrentSince Feb 10, 2019 Accepting new patients
Escambia Community Clinics Inc Current Accepting new patients

Locations

5520 Stewart St
Milton, FL 32570
Phone (850) 891-9433

6671 Caroline St
Milton, FL 32570
Phone (850) 564-7722

2315 W Jackson St
Pensacola, FL 32505
Phone (850) 495-3955

5868 Creek Station Dr
Bldg A
Pensacola, FL 32504
Phone (850) 478-1244

Organizations & group practices 3

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": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1679947352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W JACKSON ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325057552",
            "telephone_number": "850-436-4630",
            "fax_number": "850-436-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5868 CREEK STATION DR BLDG A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048627",
            "telephone_number": "850-478-1244",
            "fax_number": "850-478-1894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5520 Stewart St",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "325704304",
            "country_code": "US",
            "telephone_number": "850-981-9433",
            "fax_number": "850-365-9921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "GINGER",
        "middle_name": "E.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 12544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020065200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR",
            "identifier": "KX914",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13656075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NXDFC",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.