Individual provider Active NPI

Alison Ann Sudol, LCSW

  • Clinical Social Worker
  • Jupiter, FL
National Provider Identifier
1710573084
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10247 Issued in FL
Practice address
725 N Highway A1A Ste A104
Jupiter, FL 33477-4561
Phone
(561) 717-9550
NPI assigned
Dec 21, 2020
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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 SW10247 FL Primary

Addresses

Primary practice location

725 N Highway A1A Ste A104
Jupiter, FL 33477-4561

Mailing address

1110 Lakeshore Dr
Jupiter, FL 33458-8320
Phone (561) 352-6518

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
I20210617001547 FL Practitioner - Clinical Social Worker 5395145098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Dana Ratsprecher Psy.D., LLCGroup PAC ID 2466629530, 7 clinicians

Practice addresses (Care Compare)

2090 N Congress Ave
Colonia Assisted Living
West Palm Beach, FL 33401-8210
Phone (561) 907-8898

Merit-based Incentive Payment System (MIPS)

Final score
94.73 of 100Reported as group
Quality
91.36
Improvement activities
40
Cost
60.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW10247FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Dana Ratsprecher Psy.D., LLC Single Specialty CurrentSince May 15, 2021 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, 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": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1710573084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 LAKESHORE DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588320",
            "telephone_number": "561-352-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N HIGHWAY A1A STE A104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774561",
            "telephone_number": "561-717-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDOL",
        "first_name": "ALISON",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.