Active NPI
Marie Angela Vagedes, LCSW
- Clinical Social Worker
- Clearwater, FL
National Provider Identifier
1740470236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11420
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11420 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clearwater, FL
- NPI 1417619446
-
- Mental Health Counselor
- New Port Richey, FL
- NPI 1831596253
-
- Clinical Social Worker
- New Port Richey, FL
- NPI 1437670973
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.