Individual provider Active NPI

Todd A Shapiro, LCSW, MPA

  • Clinical Social Worker
  • Bradenton, FL
National Provider Identifier
1912009804
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003344 Issued in CT
Practice address
7673 Ridgelake Cir
Bradenton, FL 34203-2508
Phone
(941) 900-8661
NPI assigned
Sep 2, 2006
Last updated
May 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2022

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 003344 CT Primary

Addresses

Primary practice location

7673 Ridgelake Cir
Bradenton, FL 34203-2508

Mailing address

7673 Ridgelake Cir
Bradenton, FL 34203-2508
Phone (941) 900-8661

Other identifiers 1

IdentifierTypeStateIssuer
004260072OtherCTCT. BEHAV. HEALTH PARTNER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110811000016 CT Practitioner - Clinical Social Worker 4981873890 Practice locations: Glastonbury, CT
I20181003001625 FL Practitioner - Clinical Social Worker 4981873890 Reassigns benefits to 1 organization
Practice locations: Bradenton, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7673 Ridgelake Cir
Bradenton, FL 34203-2508
Phone (860) 205-4058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003344CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Psychotherapy LLC Clinical CurrentSince Mar 12, 2024 Accepting new patients
Awesome Minds Psychiatric LLC Past Accepting new patients

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1912009804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7673 RIDGELAKE CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342032508",
            "telephone_number": "941-900-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7673 RIDGELAKE CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342032508",
            "telephone_number": "941-900-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "TODD",
        "middle_name": "A",
        "credential": "LCSW, MPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT. BEHAV. HEALTH PARTNER",
            "identifier": "004260072",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.