Individual provider Active NPI

Janice Luiszer Lemieux, MSW, LCSW

  • Clinical Social Worker
  • Gulfport, FL
National Provider Identifier
1871076935
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15621 Issued in FL
Practice address
5005 24TH Ave S
Gulfport, FL 33707-5111
Phone
(757) 692-5009
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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 SW15621 FL Primary

Addresses

Primary practice location

5005 24TH Ave S
Gulfport, FL 33707-5111

Mailing address

5005 24TH Ave S
Gulfport, FL 33707-5111
Phone (757) 692-5009

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
I20200211000698 FL Practitioner - Clinical Social Worker 3274969225 Reassigns benefits to 1 organization
Practice locations: Crystal River, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7647 W Gulf to Lake Hwy
Suite 3
Crystal River, FL 34429-7800
Phone (352) 586-5919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jill Counseling Clinical CurrentSince Apr 4, 2022 Accepting new patients

Locations

7647 W Gulf To Lake Hwy
Ste 3
Crystal River, FL 34429
Phone (352) 586-5919

Organizations & group practices 2

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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1871076935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 24TH AVE S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337075111",
            "telephone_number": "757-692-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 24TH AVE S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337075111",
            "telephone_number": "757-692-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUISZER LEMIEUX",
        "first_name": "JANICE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, FL

Sources for this page

Verify at the official NPI Registry.