Individual provider Active NPI

Geralyn Poletti, LCSW

  • Clinical Social Worker
  • Naples, FL
National Provider Identifier
1942352737
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5405 Issued in FL
Practice address
5025 Castello Dr Ste 101
Naples, FL 34103-8900
Phone
(239) 325-4444
Fax
(239) 330-7947
NPI assigned
Jan 18, 2007
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW5405 FL Primary
Case Manager/Care Coordinator 171M00000X SW5405 FL

Addresses

Primary practice location

5025 Castello Dr Ste 101
Naples, FL 34103-8900

Mailing address

2806 Horseshoe Dr S
Naples, FL 34104-6125
Phone (239) 354-1425

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
I20230125001223 FL Practitioner - Clinical Social Worker 5991176216

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5025 Castello Dr
Suite 101
Naples, FL 34103-8900

76 4TH St
Condo 3 201
Bonita Springs, FL 34134-7368

PO Box
Suite 71807
Richmond, VA 23255-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Senior Center Naples Inc Clinical CurrentSince Oct 1, 2022 Accepting new patients
David Laawrence Center Past Accepting new patients

Locations

5025 Castello Dr
Ste 101
Naples, FL 34103
Phone (239) 325-4444

6200 Autumn Oaks Ln
Naples, FL 34119
Phone (239) 325-4444

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1942352737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 HORSESHOE DR S",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341046125",
            "telephone_number": "239-354-1425",
            "fax_number": "239-455-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 CASTELLO DR STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341038900",
            "telephone_number": "239-325-4444",
            "fax_number": "239-330-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLETTI",
        "first_name": "GERALYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5405",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "SW5405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.