Individual provider Active NPI

Carolyn Jean Tope, MSW, LCSW

  • Clinical Social Worker
  • Temple Terrace, FL
National Provider Identifier
1952666596
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16048 Issued in FL
Practice address
420 Saint Augustine Ave
Temple Terrace, FL 33617-7232
Phone
(813) 624-3366
NPI assigned
Jul 10, 2012
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X SW16048 FL Primary

Addresses

Primary practice location

420 Saint Augustine Ave
Temple Terrace, FL 33617-7232

Mailing address

420 Saint Augustine Ave
Temple Terrace, FL 33617-7232

Other practice location 1

13674 W Hillsborough Ave
Tampa, FL 33635-9638
Phone (813) 851-3927

Other practice location 2

12512 Bruce B Downs Blvd
Tampa, FL 33612-9209
Phone (813) 977-8700 ext. 4216

Other practice location 3

2853 Executive Park Dr Ste 101
Weston, FL 33331-3656
Phone (954) 800-2686

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
I20220618000428 FL Practitioner - Clinical Social Worker 1759760986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brave Health Inc.Group PAC ID 8123458981, 112 clinicians

Practice addresses (Care Compare)

13101 Greengage LN
Tampa, FL 33612-1803
Phone (305) 902-6347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marchant Halsor LLC Ellie Mental Health Clinical CurrentSince Jul 8, 2024 Accepting new patients

Locations

13674 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 773-5031

2853 Executive Park Dr
Ste 101
Weston, FL 33331
Phone (954) 800-2686

2853 Executive Park Dr
Ste 102
Weston, FL 33331
Phone (954) 659-1208

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1952666596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SAINT AUGUSTINE AVE",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336177232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SAINT AUGUSTINE AVE",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336177232",
            "telephone_number": "813-624-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13674 W Hillsborough Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336359638",
            "country_code": "US",
            "telephone_number": "813-851-3927",
            "fax_number": "954-827-6467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12512 Bruce B Downs Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336129209",
            "country_code": "US",
            "telephone_number": "813-977-8700 x4216",
            "fax_number": "813-975-8138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2853 Executive Park Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333313656",
            "country_code": "US",
            "telephone_number": "954-800-2686",
            "fax_number": "954-827-6467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOPE",
        "first_name": "CAROLYN",
        "middle_name": "JEAN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.