Individual provider Active NPI

Alicia Ann Uselmann, LCSW

  • Clinical Social Worker
  • Port Charlotte, FL
National Provider Identifier
1992067136
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10068 Issued in FL
Practice address
3300 Loveland Blvd Unit 2904
Port Charlotte, FL 33980-6722
Phone
(941) 769-1052
NPI assigned
Jun 13, 2012
Last updated
Jun 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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 SW10068 FL Primary

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

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
I20140131000340 FL Practitioner - Clinical Social Worker 0042449662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW10068FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Brighter View Counseling, LLC Clinical CurrentSince May 17, 2022 Accepting new patients
Beacon Clinic, Inc. Past Accepting new patients

Locations

4055 Tamiami Trl
Unit 19
Pt Charlotte, FL 33952
Phone (941) 408-6714

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1992067136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 LOVELAND BLVD UNIT 2904",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339806722",
            "telephone_number": "941-769-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 LOVELAND BLVD UNIT 2904",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339806722",
            "telephone_number": "941-769-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USELMANN",
        "first_name": "ALICIA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.