Active NPI
Brett Michael D'Aoust, LCSW
- Clinical Social Worker
- Clermont, FL
National Provider Identifier
1689910200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15910
- Practice address
- 1612 Oak Hollow Rd
Clermont, FL 34711-2975 - Phone
- (352) 552-5582
- NPI assigned
- Dec 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2333 | FL | |
| Clinical Social Worker | 1041C0700X | SW15910 | FL | Primary |
Addresses
Primary practice location
1612 Oak Hollow Rd
Clermont, FL 34711-2975
Mailing address
1612 Oak Hollow Rd
Clermont, FL 34711-2975
Phone (352) 552-5582
Other practice location 1
15681 N US Highway 301
Citra, FL 32113-3154
Phone (813) 881-1000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2333 | FL | MD | Counselor |
| SW15910 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Brandon, FL
- NPI 1962542423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1689910200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 OAK HOLLOW RD",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347112975",
"telephone_number": "352-552-5582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 OAK HOLLOW RD",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347112975",
"telephone_number": "352-552-5582"
}
],
"practiceLocations": [
{
"address_1": "15681 N US Highway 301",
"address_purpose": "LOCATION",
"city": "Citra",
"state": "FL",
"postal_code": "321133154",
"country_code": "US",
"telephone_number": "813-881-1000",
"fax_number": "813-440-3993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "D'AOUST",
"first_name": "BRETT",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-31",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "2333",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.