Individual provider Active NPI

Clelia P. Garrity, LCSW

  • Clinical Social Worker
  • Crestview, FL
National Provider Identifier
1790946804
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10975 Issued in FL
Practice address
259 E Oakdale Ave
Crestview, FL 32539-3547
Phone
(561) 271-2890
NPI assigned
Jun 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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 10975 FL Primary

Addresses

Primary practice location

259 E Oakdale Ave
Crestview, FL 32539-3547

Mailing address

259 E Oakdale Ave
Crestview, FL 32539-3547
Phone (561) 271-2890

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
I20240620003359 FL Practitioner - Clinical Social Worker 2860935616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PPCC, Inc.Group PAC ID 3870627284, 9 clinicians

Practice addresses (Care Compare)

259 E Oakdale Ave
Crestview, FL 32539-3547
Phone (850) 682-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10975FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
PPCC, Inc. CurrentSince Jun 13, 2024 Accepting new patients

Locations

259 E Oakdale Ave
Crestview, FL 32539
Phone (850) 682-1234

7 Vine Ave NE
Fort Walton Beach, FL 32548
Phone (850) 449-9566

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1790946804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 E OAKDALE AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325393547",
            "telephone_number": "561-271-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E OAKDALE AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325393547",
            "telephone_number": "561-271-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRITY",
        "first_name": "CLELIA",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "10975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.