Individual provider Active NPI

Emily K Naranjo, LCSW

  • Clinical Social Worker
  • Saint Augustine, FL
National Provider Identifier
1811223613
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9610 Issued in FL
Practice address
101 E Town PL Ste 110C
Saint Augustine, FL 32092-2726
Phone
(239) 800-9136
Fax
(239) 266-2001
NPI assigned
Oct 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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 SW9610 FL Primary

Addresses

Primary practice location

101 E Town PL Ste 110C
Saint Augustine, FL 32092-2726

Mailing address

101 E Town PL Ste 110C
Saint Augustine, FL 32092-2726
Phone (239) 800-9136

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
I20200207002432 FL Practitioner - Clinical Social Worker 1254767312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 E Town PL
Suite 110C
St Augustine, FL 32092-2726
Phone (239) 800-9136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW9610FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gratitude Counseling Group LLC CurrentSince Nov 18, 2019 Accepting new patients

Locations

2950 Immokalee Rd
Ste 3
Naples, FL 34110
Phone (239) 285-1108

101 E Town Pl
Ste 110C
St Augustine, FL 32092
Phone (239) 800-9136

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": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1811223613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E TOWN PL STE 110C",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320922726",
            "telephone_number": "239-800-9136",
            "fax_number": "239-266-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E TOWN PL STE 110C",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320922726",
            "telephone_number": "239-800-9136",
            "fax_number": "239-266-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARANJO",
        "first_name": "EMILY",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

Verify at the official NPI Registry.