Individual provider Active NPI

Alecia Rager, MSW

  • Clinical Social Worker
  • North Fort Myers, FL
National Provider Identifier
1962900464
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW9851 Issued in FL
Practice address
390 Pondella Rd Ste 9
North Fort Myers, FL 33903-4340
Phone
(239) 652-0260
Fax
(239) 652-0146
NPI assigned
Jan 30, 2018
Last updated
Jan 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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 ISW9851 FL Primary

Addresses

Primary practice location

390 Pondella Rd Ste 9
North Fort Myers, FL 33903-4340

Mailing address

12000 Lucca St Apt 201
Fort Myers, FL 33966-5366
Phone (239) 410-6221

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
I20210329000971 FL Practitioner - Clinical Social Worker 5890086482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17301 Broadway St
Suite 1004
Alva, FL 33920-3907

5237 Summerlin Commons Blvd
Suite 324
Fort Myers, FL 33907-2158
Phone (239) 250-0068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW9851FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alecia Rager LCSW LLC Clinical CurrentSince Feb 9, 2021 Accepting new patients
Ultima Rehab-FL LLC PastSince May 29, 2019 Accepting new patients
Direct Access Counseling & Supportive Services, LLC Clinical PastSince Sep 12, 2017 Accepting new patients

Locations

17301 Broadway St
Unit 1004
Alva, FL 33920

5237 Summerlin Commons Blvd
Ste 324
Fort Myers, FL 33907
Phone (239) 250-0068

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": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1962900464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 LUCCA ST APT 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339665366",
            "telephone_number": "239-410-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 PONDELLA RD STE 9",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034340",
            "telephone_number": "239-652-0260",
            "fax_number": "239-652-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGER",
        "first_name": "ALECIA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW9851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.