Individual provider Active NPI

Marie Angela Vagedes, LCSW

  • Clinical Social Worker
  • Clearwater, FL
National Provider Identifier
1740470236
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11420 Issued in FL
Practice address
2430 Estancia Blvd Ste 100a
Clearwater, FL 33761-2644
Phone
(727) 316-5740
Fax
(833) 216-5165
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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 11420 FL Primary

Addresses

Primary practice location

2430 Estancia Blvd Ste 100a
Clearwater, FL 33761-2644

Mailing address

2430 Estancia Blvd Ste 100a
Clearwater, FL 33761-2644
Phone (727) 316-5740

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
I20131017000466 FL Practitioner - Clinical Social Worker 3971781717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2430 Estancia Blvd
Suite 100a
Clearwater, FL 33761-2644
Phone (727) 316-5740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11420FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Outcomes Counseling Clinical Past Accepting new patients
Flagstaff Medical Center Past Accepting new patients
Caring Counseling LLC Past Accepting new patients

Organizations & group practices 4

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1740470236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 ESTANCIA BLVD STE 100A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612644",
            "telephone_number": "727-316-5740",
            "fax_number": "833-216-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 ESTANCIA BLVD STE 100A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612644",
            "telephone_number": "727-316-5740",
            "fax_number": "833-216-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGEDES",
        "first_name": "MARIE",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "11420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.