Individual provider Active NPI

Patrick Radcliffe Yewell, LCSW

  • Clinical Social Worker
  • Bradenton, FL
National Provider Identifier
1922517556
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14719 Issued in FL
Practice address
8847 Stone Harbour Loop
Bradenton, FL 34212-6324
Phone
(859) 457-1254
NPI assigned
Sep 27, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 14719 FL Primary

Addresses

Primary practice location

8847 Stone Harbour Loop
Bradenton, FL 34212-6324

Mailing address

8847 Stone Harbour Loop
Bradenton, FL 34212
Phone (859) 457-1254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY2 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
I20180302002308 FL Practitioner - Clinical Social Worker 7012278286 Reassigns benefits to 2 organizations
I20250429002623 KY Practitioner - Clinical Social Worker 7012278286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Employment Solutions IncGroup PAC ID 4981950706, 2 clinicians

Practice addresses (Care Compare)

1165 Centre Pkwy
Lexington, KY 40517-3260
Phone (859) 303-4657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14719FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Florida PLLC Clinical CurrentSince Nov 1, 2023 Accepting new patients
Cotler Healthcare & Development Inc. CurrentSince Apr 10, 2024 Accepting new patients
Employment Solutions Inc CurrentSince Apr 1, 2025 Accepting new patients
Lakeside Counseling LLC CurrentSince Dec 30, 2017 Accepting new patients
Sunspire Health Florida, LLC PastSince Sep 1, 2020 Accepting new patients

Locations

1111 Drury Ln
Englewood, FL 34224
Phone (941) 474-9371

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

5157 Park Club Dr
Sarasota, FL 34235
Phone (941) 377-0022

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

1165 Centre Pkwy
Lexington, KY 40517
Phone (859) 288-7580

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922517556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8847 STONE HARBOUR LOOP",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34212",
            "telephone_number": "859-457-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8847 STONE HARBOUR LOOP",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342126324",
            "telephone_number": "859-457-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEWELL",
        "first_name": "PATRICK",
        "middle_name": "RADCLIFFE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "14719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.