Individual provider Active NPI

Nicole Rose Tenore, MSW

  • Clinical Social Worker
  • Sanford, FL
National Provider Identifier
1942492657
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW2007 Issued in FL
Practice address
5467 Ronald Reagan Blvd
Sanford, FL 32773-6332
Phone
(407) 324-3036
Fax
(407) 324-3045
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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 ISW2007 FL Primary

Addresses

Primary practice location

5467 Ronald Reagan Blvd
Sanford, FL 32773-6332

Mailing address

5467 Ronald Reagan Blvd
Sanford, FL 32773-6332
Phone (407) 324-3036

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ISW2007FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1942492657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5467 RONALD REAGAN BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327736332",
            "telephone_number": "407-324-3036",
            "fax_number": "407-324-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5467 RONALD REAGAN BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327736332",
            "telephone_number": "407-324-3036",
            "fax_number": "407-324-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENORE",
        "first_name": "NICOLE",
        "middle_name": "ROSE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.