Organization provider

COMMUNITY WELLNESS COUNSELING AND SUPPORT SERVICES

Clinical Social Worker Early Intervention Provider Agency Medicare enrolled

COMMUNITY WELLNESS COUNSELING AND SUPPORT SERVICES is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1881047041, based in Bristol, FL. The organization lists 2 taxonomy classifications, with Clinical Social Worker recorded as primary.

Getting there

The practice address on file is 10611 NW STATE ROAD 20, Bristol, FL 32321. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

10611 NW STATE ROAD 20, Bristol, FL 32321 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
SW11921 FL Clinical Social Worker primary
SW11921 FL Early Intervention Provider Agency

This provider holds licence SW11921 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
1759628324
Enrollment ID
O20190122000908

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. NUCC Health Care Provider Taxonomy, code 1041C0700X
Behavioral Health & Social Service Providers Social Worker Clinical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1041C0700X Clinical Social Worker Clinical SW11921 FL primary
252Y00000X Early Intervention Provider Agency SW11921 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1881047041 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJul 22, 2016
Last updatedSep 18, 2024
StatusActive
Practice address 10611 NW STATE ROAD 20
Bristol, FL 32321
(850) 643-1033
Fax (850) 643-5066
Other identifiers 020917500 · Medicaid (FL)
This record was updated on Sep 18, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1881047041 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 8 8 1 0 4 7 0 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 7 1 0 4 5 0 8

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1881047041?
NPI 1881047041 is the National Provider Identifier assigned to COMMUNITY WELLNESS COUNSELING AND SUPPORT SERVICES in Bristol, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of…
How do I contact COMMUNITY WELLNESS COUNSELING AND SUPPORT SERVICES?
The phone number on file with NPPES is (850) 643-1033, last updated Sep 18, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does COMMUNITY WELLNESS COUNSELING AND SUPPORT SERVICES accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1881047041 a valid number?
Yes. 1881047041 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.