Individual provider Active NPI

Evelisse Bookhout

  • Clinical Social Worker
  • Clermont, FL
National Provider Identifier
1730989799
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
16605 Sunrise Lakes Blvd Ste 3
Clermont, FL 34714-6207
Phone
(352) 432-3824
NPI assigned
Mar 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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 FL Primary

Addresses

Primary practice location

16605 Sunrise Lakes Blvd Ste 3
Clermont, FL 34714-6207

Mailing address

3038 Merlot Way
Clermont, FL 34714-6165
Phone (607) 376-1124

Other practice location 1

15550 County Road 565A
Clermont, FL 34711-6618
Phone (352) 499-1372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hands of Hope America, Inc. Clinical CurrentSince Mar 24, 2025 Accepting new patients
Healing Wounds Healthcare LLC Past Accepting new patients

Locations

16605 Sunrise Lakes Blvd
Ste 3
Clermont, FL 34714
Phone (352) 432-3824

Organizations & group practices 2

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": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1730989799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3038 MERLOT WAY",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146165",
            "telephone_number": "607-376-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 SUNRISE LAKES BLVD STE 3",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146207",
            "telephone_number": "352-432-3824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15550 County Road 565A",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116618",
            "country_code": "US",
            "telephone_number": "352-499-1372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOKHOUT",
        "first_name": "EVELISSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.