Daryl D Bozone, LCSW
Individual provider Active NPI Clinical Social Worker · Dade City, FL
NPI 1003086489 · NPPES record last updated Dec 26, 2012
Key facts
- NPI
- 1003086489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW8851 (FL)
- Practice address
- 13220 Scharber Rd
Dade City, FL 33525-8008 - Phone
- (352) 588-5135
- Fax
- (352) 588-5135
- NPI assigned
- Mar 3, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- University of Oklahoma College of Medicine, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
350 W Haines Blvd
Lake Alfred, FL 33850-2718
Phone (863) 956-8831
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
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 |
|---|---|---|---|---|
| I20080613000118 | FL | Practitioner - Clinical Social Worker | 3375614654 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potential Psychological Services Corp | Clinical | Current |
Accepting new patients |
| John P McDonough III | Past |
Accepting new patients |
Locations
350 W Haines Blvd
Lake Alfred, FL 33850
Phone (863) 956-8831
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW8851 | FL | Yes |
Addresses
Primary practice location
13220 Scharber Rd
Dade City, FL 33525-8008
Mailing address
13220 Scharber Rd
Dade City, FL 33525-8008
Phone (352) 588-5135
Other providers in Dade City, FL
- Coral Lynn Blake
- Daddy Nimoh Boateng
- Robert H. Booker
- Alyssa F Bordoni
- Gladys Borges
- Jessica Brantmeier
- Captain Brathwaite
- Bri Gardens Assisted Living Facility LLC
- Delrose Monica Brown
- Graceann Brown
All providers in Dade City, 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 Dec 26, 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.