Individual provider Active NPI

Jerold M Stone, LCSW

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1942424718
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW1678 Issued in FL
Practice address
100 Wallace Ave
Suite 382
Sarasota, FL 34237-6058
Phone
(941) 366-0809
Fax
(941) 922-9235
NPI assigned
Apr 12, 2007
Last updated
Aug 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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 SW1678 FL Primary
Marriage & Family Therapist 106H00000X MT1190 FL

Addresses

Primary practice location

100 Wallace Ave
Suite 382
Sarasota, FL 34237-6058

Mailing address

100 Wallace Ave
Suite 382
Sarasota, FL 34237-6058
Phone (941) 366-0809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Washington University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5888 Snowy Egret Dr
Sarasota, FL 34238-3757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW1678FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1942424718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALLACE AVE",
            "address_2": "SUITE 382",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376058",
            "telephone_number": "941-366-0809",
            "fax_number": "941-922-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALLACE AVE",
            "address_2": "SUITE 382",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376058",
            "telephone_number": "941-366-0809",
            "fax_number": "941-922-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "JEROLD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1678",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.