Individual provider Active NPI

Laura M Sturdevant, LCSW

  • Clinical Social Worker
  • Inverness, FL
National Provider Identifier
1962790857
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
101 S Osceola Ave Ste 2
Inverness, FL 34452-4727
Phone
(352) 322-2550
NPI assigned
Jul 13, 2011
Reactivated
Jun 22, 2022
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 082257 NY
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

101 S Osceola Ave Ste 2
Inverness, FL 34452-4727

Mailing address

PO Box 246
Homosassa Springs, FL 34447-0246
Phone (352) 322-2550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 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
I20220914003384 FL Practitioner - Clinical Social Worker 0941685739 Reassigns benefits to 2 organizations
I20260519000936 NY Practitioner - Clinical Social Worker 0941685739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 S Osceola Ave
Inverness, FL 34452-4727
Phone (352) 322-2550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness and Recovery Counseling, LLC Clinical CurrentSince Jul 1, 2022 Accepting new patients
Ellis Hospital PastSince Sep 1, 2012 Accepting new patients

Locations

101 S Osceola Ave
Inverness, FL 34452
Phone (352) 726-5533

101 S Osceola Ave
Ste 2
Inverness, FL 34452
Phone (352) 322-2550

111 W Main St
Ste 305
Inverness, FL 34450
Phone (352) 322-2550

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (561) 556-2656

Organizations & group practices 3

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": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1962790857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "HOMOSASSA SPRINGS",
            "state": "FL",
            "postal_code": "344470246",
            "telephone_number": "352-322-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S OSCEOLA AVE STE 2",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524727",
            "telephone_number": "352-322-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURDEVANT",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "deactivation_date": "2022-04-20",
        "reactivation_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082257",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.