Advanced Comprehensive Elderly Care Services, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 3024 Issued in FL

Legal business name

ADVANCED COMPREHENSIVE ELDERLY CARE SERVICES, INC

Practice address

4102 W Linebaugh Ave
Tampa, FL 33624-5296

Phone

(813) 389-9563

Fax

(352) 588-3699

NPI assigned

Jan 10, 2008

Last updated

Sep 7, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Carol A Roth, LCSW

Title

President

Phone

(813) 389-9563

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220745600000",
    "number": "1730365628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "city": "SAN ANTONIO",
            "state": "FL",
            "postal_code": "335760845",
            "telephone_number": "813-389-9563",
            "fax_number": "352-588-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245296",
            "telephone_number": "813-389-9563",
            "fax_number": "352-588-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COMPREHENSIVE ELDERLY CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-09-07",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-389-9563",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 3024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "K7448",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.