Active NPI
Walter Hirtzel, LCSW
- Clinical Social Worker
- Plant City, FL
National Provider Identifier
1831873587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW-4081
- Practice address
- 782 Ashentree Dr
Plant City, FL 33563-6992 - Phone
- (813) 365-1143
- NPI assigned
- Jun 13, 2023
- 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 | SW-4081 | FL | Primary |
Addresses
Primary practice location
782 Ashentree Dr
Plant City, FL 33563-6992
Mailing address
782 Ashentree Dr
Plant City, FL 33563-6992
Phone (813) 365-1143
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 |
|---|---|---|---|
| SW-4081 | FL | MD | Clinical 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": "1686614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1831873587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "782 ASHENTREE DR",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335636992",
"telephone_number": "813-365-1143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "782 ASHENTREE DR",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335636992",
"telephone_number": "813-365-1143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRTZEL",
"first_name": "WALTER",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-13",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW-4081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plant City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.