Individual provider Active NPI

Maggie McCaskill Foran, LCSW

  • Clinical Social Worker
  • Bristol, FL
National Provider Identifier
1770355232
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17755 Issued in FL
Practice address
10356 NW Alto LN
Bristol, FL 32321-5256
Phone
(850) 294-1783
NPI assigned
Oct 26, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

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
I20231107003468 FL Practitioner - Clinical Social Worker 6709233158 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Panhandle Therapy Center LLC Clinical CurrentSince Jan 1, 2024 Accepting new patients

Locations

20311 Central Ave W
Blountstown, FL 32424
Phone (850) 674-8888

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW17755 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

10356 NW Alto LN
Bristol, FL 32321-5256

Mailing address

10356 NW Alto LN
Bristol, FL 32321-5256
Phone (850) 294-1783

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 20, 2023.

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1770355232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10356 NW ALTO LN",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323215256",
            "telephone_number": "850-294-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10356 NW ALTO LN",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323215256",
            "telephone_number": "850-294-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORAN",
        "first_name": "MAGGIE",
        "middle_name": "MCCASKILL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, FL

Sources for this page

Verify at the official NPI Registry.