Francine Siegel Fern, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9131 Issued in FL

Practice address

1647 Sun City Center PLZ Ste 204B
Sun City Center, FL 33573-5334

Phone

(813) 419-4096

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Francine Siegel Former name

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Francine S Fern, LCSW Consultation & Psychotherapy

  • Clinical Social Worker
  • Sun City Center, FL
  • NPI 1063270072
  NPD Authorized official
• Fern Psychotherapy & Clinical Training PLLC

  • Clinical Social Worker
  • Sun City Center, FL
  • NPI 1164337382
  NPD (past) Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1740200716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16162 COQUINA BAY LN",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984060",
            "telephone_number": "813-419-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 SUN CITY CENTER PLZ STE 204B",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735334",
            "telephone_number": "813-419-4096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16162 Coquina Bay Ln",
            "address_purpose": "LOCATION",
            "city": "Wimauma",
            "state": "FL",
            "postal_code": "335984060",
            "country_code": "US",
            "telephone_number": "813-419-4096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5514 Whispering Willow Way",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339084518",
            "country_code": "US",
            "telephone_number": "239-481-8876",
            "fax_number": "239-481-8876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERN",
        "first_name": "FRANCINE",
        "middle_name": "SIEGEL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R051959-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCINE",
            "last_name": "SIEGEL",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Faith & Hope LLC
• Amy Dawn Farnsworth, PTA
• Chelsea Tucker Farrell, DMD
• Sherrie Faust, PTA
• Fern Psychotherapy & Clinical Training PLLC
• Madeline Elena Fezzie, OTR/L
• Fit Feet for Life, Inc.
• William Brian Flannery, OT
• Dean Kenneth Flores, DPT
• Renee Floresta-Chan, APRN

• Clinical Social Worker in Sun City Center, FL
• Providers in Sun City Center, 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 Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.