Individual provider Active NPI

Ginamarie Pamela Iannone

  • Clinical Social Worker
  • Indian Harbour Beach, FL
National Provider Identifier
1841996352
Registry record updated Feb 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20237 Issued in FL
Practice address
2060 Highway A1A Ste 304
Indian Harbour Beach, FL 32937-3596
Phone
(321) 574-6073
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 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 SW20237 FL Primary

Addresses

Primary practice location

2060 Highway A1A Ste 304
Indian Harbour Beach, FL 32937-3596

Mailing address

120 Brixton LN
Satellite Beach, FL 32937-2104
Phone (585) 615-0012

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

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1841996352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BRIXTON LN",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372104",
            "telephone_number": "585-615-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 HIGHWAY A1A STE 304",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329373596",
            "telephone_number": "321-574-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNONE",
        "first_name": "GINAMARIE",
        "middle_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.