Active NPI
Daniel Bartlett II
- Clinical Social Worker
- Winter Haven, FL
National Provider Identifier
1760162002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18798
- Practice address
- 99 6TH St SW
Winter Haven, FL 33880-7901 - Phone
- (863) 662-4191
- NPI assigned
- Jul 21, 2023
- Sex
- Male
- 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 | 18798 | FL | Primary |
Addresses
Primary practice location
99 6TH St SW
Winter Haven, FL 33880-7901
Mailing address
99 6TH St SW
Winter Haven, FL 33880-7901
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 568946544 | Other | BCBS | |
| 236 | Medicaid | DC | |
| 5874 | Other | HEALTH PARTNERS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18798 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1760162002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 6TH ST SW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338807901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 6TH ST SW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338807901",
"telephone_number": "863-662-4191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLETT",
"first_name": "DANIEL",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-21",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "18798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "568946544",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "5874",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"address_1": "99 6th St SW",
"city": "Winter Haven",
"state": "FL",
"country_code": "US",
"postal_code": "338807901",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.