Individual provider Active NPI

Christine Marie Digangi-Korbel, LCSW

  • Clinical Social Worker
  • Venice, FL
National Provider Identifier
1033414412
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.011677 Issued in IL
Practice address
12161 Mercado Dr Ste 258
Venice, FL 34293-1147
Phone
(847) 920-7070
NPI assigned
Jan 17, 2011
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18235 FL
Clinical Social Worker 1041C0700X 149.011677 IL Primary

Addresses

Primary practice location

12161 Mercado Dr Ste 258
Venice, FL 34293-1147

Mailing address

12161 Mercado Dr Ste 258
Venice, FL 34293-1147
Phone (847) 920-7070

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
I20251122001607 FL Practitioner - Clinical Social Worker 9638661085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Dandelion Behavioral Health LLCGroup PAC ID 9739600685, 12 clinicians

Practice addresses (Care Compare)

1777 Tamiami TRL
Suite 500
Port Charlotte, FL 33948-1083
Phone (941) 780-4268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.011677ILMDClinical Social Worker
18235FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dandelion Behavioral Health LLC CurrentSince Oct 15, 2025 Accepting new patients

Locations

1777 Tamiami Trl
Ste 500
Port Charlotte, FL 33948
Phone (941) 391-6605

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": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1033414412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12161 MERCADO DR STE 258",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931147",
            "telephone_number": "847-920-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12161 MERCADO DR STE 258",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931147",
            "telephone_number": "847-920-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGANGI-KORBEL",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "18235",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.