Active NPI
Constance M. Werthmann
- Clinical Social Worker
- Tampa, FL
National Provider Identifier
1780729434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 4720
- Practice address
- 4612 N 56TH St
Tampa, FL 33610-7123 - Phone
- (813) 246-4899
- Fax
- (813) 246-5119
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 | SW 4720 | FL | Primary |
Addresses
Primary practice location
4612 N 56TH St
Tampa, FL 33610-7123
Mailing address
4612 N. 56TH Street
Tampa, FL 33610
Phone (813) 246-4899
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 |
|---|---|---|---|
| SW 4720 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780729434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4612 N. 56TH STREET",
"city": "TAMPA",
"state": "FL",
"postal_code": "33610",
"telephone_number": "813-246-4899",
"fax_number": "813-246-5119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4612 N 56TH ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336107123",
"telephone_number": "813-246-4899",
"fax_number": "813-246-5119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERTHMANN",
"first_name": "CONSTANCE",
"middle_name": "M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 4720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.