Individual provider Active NPI

Patricia M Dumont, LCSW

  • Clinical Social Worker
  • Port Charlotte, FL
National Provider Identifier
1952556060
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8444 Issued in FL
Practice address
2200 Kings Hwy # 3La1002
Port Charlotte, FL 33980-5759
Phone
(239) 738-3535
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 SW8444 FL Primary

Addresses

Primary practice location

2200 Kings Hwy # 3La1002
Port Charlotte, FL 33980-5759

Mailing address

PO Box 494093
Port Charlotte, FL 33949-4093
Phone (239) 738-3535

Other identifiers 1

IdentifierTypeStateIssuer
000600700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN2 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
I20090226000303 FL Practitioner - Clinical Social Worker 8123184108 Reassigns benefits to 3 organizations
I20220517001338 MN Practitioner - Clinical Social Worker 8123184108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

980 S Tower Rd
Fergus Falls, MN 56537-5505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW8444FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Access Counseling & Supportive Services, LLC Clinical CurrentSince Feb 26, 2019 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Oct 24, 2023 Accepting new patients
Thriveworks Clinical - Florida Inc CurrentSince Apr 26, 2021 Accepting new patients
Ultima Rehab-FL LLC PastSince May 29, 2019 Accepting new patients
Hope Hospice and Community Services, Inc Past Accepting new patients

Locations

2425 E Commercial Blvd
Ste 405
Fort Lauderdale, FL 33308
Phone (754) 400-5514

4243 Sunbeam Rd
Ste 6
Jacksonville, FL 32257
Phone (904) 299-0184

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

390 Pondella Rd
Ste 9
North Ft Myers, FL 33903
Phone (239) 652-0260

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1952556060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494093",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339494093",
            "telephone_number": "239-738-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 KINGS HWY # 3LA1002",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339805759",
            "telephone_number": "239-738-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMONT",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000600700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.