Individual provider Active NPI

Alyssa Townsend, LCSW

  • Clinical Social Worker
  • Port St Lucie, FL
National Provider Identifier
1780422568
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16353 Issued in FL
Practice address
145 NW Central Park PLZ Ste 200
Port St Lucie, FL 34986-2482
Phone
(772) 303-1507
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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 16353 FL Primary

Addresses

Primary practice location

145 NW Central Park PLZ Ste 200
Port St Lucie, FL 34986-2482

Mailing address

7304 Penny LN
Fort Pierce, FL 34951-1172
Phone (772) 237-1772

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
I20240917004001 FL Practitioner - Clinical Social Worker 2466993530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Medical and Health Services LLCGroup PAC ID 4981097318, 18 clinicians

Practice addresses (Care Compare)

10 SE Central Pkwy
Suite 101
Stuart, FL 34994-5914
Phone (772) 497-5895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16353FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Medical and Health Services LLC Clinical CurrentSince Aug 12, 2024 Accepting new patients

Locations

160 NW Central Park Plz
Ste 104
Port St Lucie, FL 34986
Phone (772) 497-5985

145 NW Central Park Plz
Ste 200
Port St Lucie, FL 34986
Phone (772) 303-1987

160 NW Central Park Plz
Ste 104105
Port St Lucie, FL 34986
Phone (772) 497-5985

10 SE Central Pkwy
Ste 101
Stuart, FL 34994
Phone (772) 497-5895

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.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1780422568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7304 PENNY LN",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349511172",
            "telephone_number": "772-237-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 NW CENTRAL PARK PLZ STE 200",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862482",
            "telephone_number": "772-303-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "ALYSSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.