Individual provider Active NPI

Lessy Anne W. Nezifort, LCSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1740172105
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW24926 Issued in FL
Practice address
8270 Woodland Center Blvd
Tampa, FL 33614-2401
Phone
(855) 227-3574
NPI assigned
Jul 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 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 SW24926 FL Primary

Addresses

Primary practice location

8270 Woodland Center Blvd
Tampa, FL 33614-2401

Mailing address

8270 Woodland Center Blvd
Tampa, FL 33614-2401

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
I20250723002903 FL Practitioner - Clinical Social Worker 5597271759 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW24926FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Care Physicians Group PC Clinical CurrentSince Jul 11, 2025 Accepting new patients

Locations

8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1740172105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8270 WOODLAND CENTER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8270 WOODLAND CENTER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142401",
            "telephone_number": "855-227-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEZIFORT",
        "first_name": "LESSY",
        "middle_name": "ANNE W.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW24926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.