TRISTA NICOLE STURRUP LCSW
NPI 1245709369
Social Worker - Clinical in Fort Myers, FL

Active since November 19, 2018PECOS Enrolled
4310 METRO PKWY STE 205, FORT MYERS, FL 33916(396) 906-9062 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 16, 2024, Dec 5, 2019, Nov 19, 2018 (3 updates tracked since 2018).

About Trista Nicole Sturrup Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRISTA NICOLE STURRUP LCSW (NPI 1245709369) is an individual clinical provider in Fort Myers, Florida, licensed in Florida (SW22741) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1245709369
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTRISTA NICOLE STURRUPCredential: LCSW
Location Address4310 METRO PKWY STE 205Fort Myers, FL 33916-9416
Mailing Address42422 Cascade DrPunta Gorda, FL 33982-2586
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 19, 2018
Last NPPES UpdateApril 16, 20243 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
NPI 1245709369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in FL · SW22741
Definition

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.

4310 METRO PKWY STE 205, Fort Myers, FL 33916

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Trista Nicole Sturrup Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618317108
PECOS Enrollment IDI20260410002794
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33916 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.56 – $179.05
Typical copayment $0.00 (range $14.64 – $44.76)
Most-billed visit code NA
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Counselor (Mental Health)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Social Worker (Clinical)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Counselor (Mental Health)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Psychiatry & Neurology (Geriatric Psychiatry)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Counselor (Mental Health)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Social Worker (Clinical)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Nurse Practitioner (Psychiatric/Mental Health)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245709369, enumerated as an "individual" on November 19, 2018.

The provider is located at 4310 METRO PKWY STE 205 FORT MYERS, FL 33916 and the phone number is (396) 906-9062.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.