Alicia Ann Uselmann, LCSW
Individual provider Active NPI Clinical Social Worker · Port Charlotte, FL
NPI 1992067136 · NPPES record last updated Jun 13, 2012
Key facts
- NPI
- 1992067136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW10068 (FL)
- Practice address
- 3300 Loveland Blvd Unit 2904
Port Charlotte, FL 33980-6722 - Phone
- (941) 769-1052
- NPI assigned
- Jun 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Tamiami TRL
Unit 19
Port Charlotte, FL 33952-9212
Phone (941) 408-6714
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140131000340 | FL | Practitioner - Clinical Social Worker | 0042449662 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW10068 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Brighter View Counseling, LLC | Clinical | Current |
Accepting new patients |
| Beacon Clinic, Inc. | Past | Accepting new patients |
Locations
4055 Tamiami Trl
Unit 19
Pt Charlotte, FL 33952
Phone (941) 408-6714
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW10068 | FL | Yes |
Addresses
Primary practice location
3300 Loveland Blvd Unit 2904
Port Charlotte, FL 33980-6722
Mailing address
3300 Loveland Blvd Unit 2904
Port Charlotte, FL 33980-6722
Phone (941) 769-1052
Other providers in Port Charlotte, FL
- Ultimate Eye Care PA
- Ultimate Wellness Rehab LLC
- Ime Umana
- Jeffery Shawn Underwood
- Unity Respiratory and Diabetic Inc
- Usv Optical Inc.
- Yaileny Valdes Gonzalez
- Ernesto Valdovinos Estrada
- Louis Kevin Valente
- Malgorzata Valente
All providers in Port Charlotte, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.