Individual provider Active NPI

A'Lea Rae Ward, LCSW

  • Clinical Social Worker
  • Fort Myers, FL
National Provider Identifier
1871314757
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23752 Issued in FL
Practice address
12670 New Brittany Blvd Ste 101
Fort Myers, FL 33907-3650
Phone
(239) 326-2068
NPI assigned
Oct 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 SW23752 FL Primary

Addresses

Primary practice location

12670 New Brittany Blvd Ste 101
Fort Myers, FL 33907-3650

Mailing address

9203 Estero River Cir
Estero, FL 33928-4418
Phone (408) 533-2618

Other practice location 1

9210 Estero Park Commons Blvd Ste 7
Estero, FL 33928-6395
Phone (239) 427-1833

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
I20250107003345 FL Practitioner - Clinical Social Worker 8022546837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Coast Counseling LLCGroup PAC ID 6709310733, 5 clinicians

Practice addresses (Care Compare)

3443 Pine Ridge Rd
Naples, FL 34109-3926
Phone (239) 427-1833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW23752FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Coast Counseling LLC Clinical CurrentSince Oct 20, 2024 Accepting new patients

Locations

9210 Estero Park Commons Blvd
Ste 7
Estero, FL 33928
Phone (239) 351-5979

9210 Estero Park Commons Blvd
Ste 7BVLD
Estero, FL 33928

2430 Vanderbilt Beach Rd
Ste 108
Naples, FL 34109
Phone (239) 287-6624

3443 Pine Ridge Rd
Ste 101
Naples, FL 34109
Phone (239) 427-1833

3443 Pine Ridge Rd
Naples, FL 34109
Phone (239) 427-1833

Organizations & group practices 1

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": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1871314757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9203 ESTERO RIVER CIR",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339284418",
            "telephone_number": "408-533-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12670 NEW BRITTANY BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073650",
            "telephone_number": "239-326-2068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9210 Estero Park Commons Blvd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339286395",
            "country_code": "US",
            "telephone_number": "239-427-1833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "A'LEA",
        "middle_name": "RAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.