Individual provider Active NPI

Melissa Thompson, LCSW- QS

  • Clinical Social Worker
  • Fort Myers, FL
National Provider Identifier
1720639065
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19677 Issued in FL
Practice address
8981 Daniels Center Dr Ste 209
Fort Myers, FL 33912-0308
Phone
(239) 329-9264
NPI assigned
Sep 27, 2019
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 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 SW19677 FL Primary

Addresses

Primary practice location

8981 Daniels Center Dr Ste 209
Fort Myers, FL 33912-0308

Mailing address

8621 Manderston CT
Fort Myers, FL 33912-6614
Phone (239) 671-7950

Other practice location 1

8621 Manderston Ct
Fort Myers, FL 33912-6614
Phone (239) 671-7950

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
I20251031003826 FL Practitioner - Clinical Social Worker 5092204602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians
Revive Family Counseling, LLCGroup PAC ID 7214428358, 2 clinicians

Practice addresses (Care Compare)

201 S Biscayne Blvd
Suite 2867
Miami, FL 33131-4330
Phone (786) 269-0333

8981 Daniels Ctr Dr
Suite 209
Fort Myers, FL 33912-0308
Phone (239) 329-9264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW19677FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sailor Health Medical PA Clinical CurrentSince Oct 17, 2025 Accepting new patients
Revive Family Counseling, L.L.C. CurrentSince Aug 16, 2025 Accepting new patients
Jewish Family Service of Colorado PastSince Oct 1, 2022 Accepting new patients

Locations

8981 Daniels Center Dr
Ste 209
Fort Myers, FL 33912
Phone (239) 329-9264

201 S Biscayne Blvd
Ste 2867
Miami, FL 33131
Phone (786) 269-0333

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, 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": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1720639065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8621 MANDERSTON CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339126614",
            "telephone_number": "239-671-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8981 DANIELS CENTER DR STE 209",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120308",
            "telephone_number": "239-329-9264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8621 Manderston Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339126614",
            "country_code": "US",
            "telephone_number": "239-671-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MELISSA",
        "credential": "LCSW- QS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.