Individual provider Active NPI

Penny Silverman, LCSW

  • Clinical Social Worker
  • Palm Coast, FL
National Provider Identifier
1821178146
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
FLSW2615 Issued in FL
Practice address
1 Florida Park Drive South
Ste 315
Palm Coast, FL 32174
Phone
(386) 446-5730
Fax
(386) 671-7503
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 FLSW2615 FL Primary

Addresses

Primary practice location

1 Florida Park Drive South
Ste 315
Palm Coast, FL 32174

Mailing address

46 Lakecliff Dr
Ormond Beach, FL 32174
Phone (386) 446-5730

Other identifiers 1

IdentifierTypeStateIssuer
71174OtherCIGNA

Other names 1

  • Penny Silverman-Mingola Other name

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
I20120106000670 FL Practitioner - Clinical Social Worker 7810163128 Practice locations: Palm Coast, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Florida Park Dr
Suite 315
Palm Coast, FL 32137-3843
Phone (386) 671-7503

1 Florida Park Dr S
Suite 315
Palm Coast, FL 32137-3802

46 Lakecliff Dr
Ormond Beach, FL 32174-3049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FLSW2615FLMDClinical Social Worker

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821178146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 LAKECLIFF DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-446-5730",
            "fax_number": "386-671-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FLORIDA PARK DRIVE SOUTH",
            "address_2": "STE 315",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-446-5730",
            "fax_number": "386-671-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "PENNY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "FLSW2615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "71174",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENNY",
            "last_name": "SILVERMAN-MINGOLA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.