Individual provider Active NPI

Abbe Cheryl Cotter, MSW

  • Social Worker
  • Tampa, FL
National Provider Identifier
1811142631
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
RO45952-1 Issued in NY
Practice address
550 N Reo St Ste 240
Tampa, FL 33609-1062
Phone
(813) 435-3060
Fax
(813) 435-2345
NPI assigned
Nov 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X RO45952-1 NY Primary

Addresses

Primary practice location

550 N Reo St Ste 240
Tampa, FL 33609-1062

Mailing address

550 N Reo St Ste 240
Tampa, FL 33609-1062
Phone (813) 435-3060

Other practice location 1

1816 Erie Blvd E
Syracuse, NY 13210-1230
Phone (315) 214-0390

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
I20240319000163 FL Practitioner - Clinical Social Worker 3274679667 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO45952-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anil K. Verma, MD Past Accepting new patients
Personal Wellness Solutions, P.a. Past Accepting new patients

Organizations & group practices 3

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": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1811142631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N REO ST STE 240",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091062",
            "telephone_number": "813-435-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N REO ST STE 240",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091062",
            "telephone_number": "813-435-3060",
            "fax_number": "813-435-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1816 Erie Blvd E",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101230",
            "country_code": "US",
            "telephone_number": "315-214-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTER",
        "first_name": "ABBE",
        "middle_name": "CHERYL",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "RO45952-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.