Active NPI
Ann Plauche Lirette, LCSW
- Clinical Social Worker
- Panama City, FL
National Provider Identifier
1922095744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW7617
- Practice address
- 525 East Fifteenth St
Life Management Center
Panama City, FL 32405 - Phone
- (850) 522-4485
- Fax
- (850) 522-4471
- NPI assigned
- Oct 6, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW7617 | FL | Primary |
Addresses
Primary practice location
525 East Fifteenth St
Life Management Center
Panama City, FL 32405
Mailing address
525 East Fifteenth St
Life Management Center
Panama City, FL 32405
Phone (850) 522-4485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z073Y | Other | FL | BCBS HMO/PPO |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW7617 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1922095744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 EAST FIFTEENTH ST",
"address_2": "LIFE MANAGEMENT CENTER",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32405",
"telephone_number": "850-522-4485",
"fax_number": "850-522-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 EAST FIFTEENTH ST",
"address_2": "LIFE MANAGEMENT CENTER",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32405",
"telephone_number": "850-522-4485",
"fax_number": "850-522-4471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIRETTE",
"first_name": "ANN",
"middle_name": "PLAUCHE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "LCSW7617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS HMO/PPO",
"identifier": "Z073Y",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.