Individual provider Active NPI

Craig Joseph Pugh, RCSWI, MSW

  • Clinical Social Worker
  • Saint Petersburg, FL
National Provider Identifier
1891550968
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW18699 Issued in FL
Practice address
871 Ibis Walk PL N Unit 6108
Saint Petersburg, FL 33716-3847
Phone
(727) 772-3200
NPI assigned
Feb 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 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 ISW18699 FL Primary

Addresses

Primary practice location

871 Ibis Walk PL N Unit 6108
Saint Petersburg, FL 33716-3847

Mailing address

871 Ibis Walk PL N Unit 6108
Saint Petersburg, FL 33716-3847
Phone (727) 772-3200

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

LicenseStateTypeSpecialty
ISW18699FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1891550968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 IBIS WALK PL N UNIT 6108",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337163847",
            "telephone_number": "727-772-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 IBIS WALK PL N UNIT 6108",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337163847",
            "telephone_number": "727-772-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "CRAIG",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "RCSWI, MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW18699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.