Individual provider Active NPI

James Anthony Fargnoli, MSW

  • Clinical Social Worker
  • Fort Myers, FL
National Provider Identifier
1700680295
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
12811 Kenwood LN Ste 213
Fort Myers, FL 33907-5648
Phone
(239) 223-7328
NPI assigned
Apr 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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 Primary

Addresses

Primary practice location

12811 Kenwood LN Ste 213
Fort Myers, FL 33907-5648

Mailing address

12811 Kenwood LN Ste 213
Fort Myers, FL 33907-5648
Phone (239) 223-7328

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
I20250812001122 FL Practitioner - Clinical Social Worker 3971011958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Treatment Team LLCGroup PAC ID 0446594451, 22 clinicians

Practice addresses (Care Compare)

12811 Kenwood LN
Suite 202
Fort Myers, FL 33907-5646
Phone (239) 537-9646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Treatment Team LLC CurrentSince Jul 28, 2025 Accepting new patients
Therapy Treatment Team LLC CurrentSince Jul 28, 2025 Accepting new patients
Therapy Treatment Team LLC PastSince Aug 6, 2023 Accepting new patients

Locations

12811 Kenwood Ln
Ste 202
Fort Myers, FL 33907
Phone (239) 537-9646

12811 Kenwood Ln
Ste 213
Fort Myers, FL 33907
Phone (239) 223-7328

2345 Stanford Ct
Ste 602
Naples, FL 34112
Phone (239) 537-9646

27661 Cashford Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 592-7448

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": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1700680295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12811 KENWOOD LN STE 213",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075648",
            "telephone_number": "239-223-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12811 KENWOOD LN STE 213",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075648",
            "telephone_number": "239-223-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARGNOLI",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.