Individual provider Active NPI

Diane Lindsay

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1942925219
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW15752 Issued in FL
Practice address
14499 N Dale Mabry Hwy Ste 130S
Tampa, FL 33618-2071
Phone
(833) 769-3524
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 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 ISW15752 FL Primary

Addresses

Primary practice location

14499 N Dale Mabry Hwy Ste 130S
Tampa, FL 33618-2071

Mailing address

628 Lakemont Dr
Brandon, FL 33510-2570
Phone (813) 517-7469

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
I20240703004184 FL Practitioner - Clinical Social Worker 9234673948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Psychiatric Health IncGroup PAC ID 7810290384, 26 clinicians

Practice addresses (Care Compare)

27716 Cashford Cir
Suite 101
Wesley Chapel, FL 33544-6962
Phone (813) 540-1466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW15752FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince May 28, 2024 Accepting new patients
Advanced Psychiatric Health Inc CurrentSince Dec 25, 2024 Accepting new patients
Personal Recovery Network LLC CurrentSince Oct 16, 2022 Accepting new patients
Partners in Medicine & Surgery, P.a. PastSince Dec 25, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

14499 N Dale Mabry Hwy
Ste 130S
Tampa, FL 33618
Phone (813) 530-1414

27716 Cashford Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 406-4835

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1942925219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 LAKEMONT DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102570",
            "telephone_number": "813-517-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14499 N DALE MABRY HWY STE 130S",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182071",
            "telephone_number": "833-769-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW15752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.