Organization Active NPI

Maureen Saunders LCSW PLLC

  • Clinical Social Worker
  • St Petersburg, FL
National Provider Identifier
1760742126
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7342 Issued in FL
Legal business name
MAUREEN SAUNDERS LCSW PLLC
Practice address
2429 Central Avenue
Suite 210
St Petersburg, FL 33713-8640
Phone
(727) 483-0545
Fax
(727) 851-9272
NPI assigned
May 20, 2012
Last updated
Jun 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Maureen Saunders, LCSWNPI 1336397850
Title
Owner
Phone
(727) 486-0545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW7342 FL Primary

Addresses

Primary practice location

2429 Central Avenue
Suite 210
St Petersburg, FL 33713-8640

Mailing address

7265 Mt Fairfield Rd
St Petersburg, FL 33702-6023
Phone (727) 483-0545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120717000268 FL Part B Supplier - Clinic/Group Practice 5496911661 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Petersburg, FL

National Provider Directory

National Provider Directory

Locations

2429 Central Ave
Ste 210
St Petersburg, FL 33713
Phone (727) 483-0545

2901 1st Ave N
Ste 301
St Petersburg, FL 33713
Phone (205) 267-8653

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1760742126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7265 MT FAIRFIELD RD",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337026023",
            "telephone_number": "727-483-0545",
            "fax_number": "727-851-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 CENTRAL AVENUE",
            "address_2": "SUITE 210",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138640",
            "telephone_number": "727-483-0545",
            "fax_number": "727-851-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN SAUNDERS LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-20",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-486-0545",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.