Active NPI
Thomas Raymond Metzinger, LCSW
- Clinical Social Worker
- Vero Beach, FL
National Provider Identifier
1831604255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW14303
- Practice address
- 1190 37TH St
Vero Beach, FL 32960-6507 - Phone
- (772) 563-4666
- Fax
- (772) 770-9506
- NPI assigned
- Dec 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | SW14303 | FL | Primary |
Addresses
Primary practice location
1190 37TH St
Vero Beach, FL 32960-6507
Mailing address
8191 Westfield Cir
Vero Beach, FL 32966-1282
Phone (772) 559-2355
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 |
|---|---|---|---|
| SW14303 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1831604255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8191 WESTFIELD CIR",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329661282",
"telephone_number": "772-559-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 37TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606507",
"telephone_number": "772-563-4666",
"fax_number": "772-770-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZINGER",
"first_name": "THOMAS",
"middle_name": "RAYMOND",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-07",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW14303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.