TANYA SUE BERISFORD MSW
NPI 1255098901
Social Worker - Clinical in Gotha, FL

Active since November 17, 2021PECOS EnrolledAccepts Medicare Assignment
3613 BREEDERS CUP CT, GOTHA, FL 34734(352) 483-6498 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tanya Sue Berisford Msw NPPES

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

TANYA SUE BERISFORD MSW (NPI 1255098901) is an individual clinical provider in Gotha, Florida, licensed in Florida (21300) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255098901
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTANYA SUE BERISFORDCredential: MSW
Location Address3613 BREEDERS CUP CTGotha, FL 34734-5112
Mailing Address3613 Breeders Cup CtGotha, FL 34734-5112 · (352) 483-6498
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 17, 2021
Last NPPES UpdateApril 20, 2023
NPPES CertifiedApril 20, 2023
NPI 1255098901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in FL · 21300 Licensed in FL · 14060
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.

3613 BREEDERS CUP CT, Gotha, FL 34734

Other Names 1

Former Name (1)Tanya Ferguson Berisford

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tanya Sue Berisford Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082727458
PECOS Enrollment IDI20250701003229
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 34734 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 $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255098901, enumerated as an "individual" on November 17, 2021.

The provider is located at 3613 BREEDERS CUP CT GOTHA, FL 34734 and the phone number is (352) 483-6498.

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