Active NPI
Ellen R. Bachmeyer, LCSW
- Clinical Social Worker
- The Villages, FL
National Provider Identifier
1962600668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW3292
- Practice address
- 270 Campbell Ave
The Villages, FL 32162-5389 - Phone
- (352) 209-6211
- Fax
- (561) 745-7324
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW3292 | FL | Primary |
Addresses
Primary practice location
270 Campbell Ave
The Villages, FL 32162-5389
Mailing address
PO Box 2336
Jupiter, FL 33468-2336
Phone (352) 209-6211
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW3292 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sphinx Wellness Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Summerfield, FL
- NPI 1427140094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1962600668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2336",
"city": "JUPITER",
"state": "FL",
"postal_code": "334682336",
"telephone_number": "352-209-6211",
"fax_number": "561-745-7324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 CAMPBELL AVE",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321625389",
"telephone_number": "352-209-6211",
"fax_number": "561-745-7324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHMEYER",
"first_name": "ELLEN",
"middle_name": "R.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW3292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.