Elizabeth Nicole Polifrone, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW11282 Issued in FL

Practice address

2759 State Road 580 Ste 112
Clearwater, FL 33761-3352

Phone

(727) 641-0808

NPI assigned

Sep 27, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1043647662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11076 56TH TER",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337727222",
            "telephone_number": "727-641-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 STATE ROAD 580 STE 112",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613352",
            "telephone_number": "727-641-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 General Mouton Ave",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705018511",
            "country_code": "US",
            "telephone_number": "337-232-9457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2960 Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337601952",
            "country_code": "US",
            "telephone_number": "727-543-8580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLIFRONE",
        "first_name": "ELIZABETH",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11282",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW11282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Podiatry Associates of Florida, Inc.
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• Nadezhda Dmitrievna Pokrovskaya, D.M.D.
• Avianna Poleto
• Ellen Policastri, L.AC.
• Benjamin Pollock, LMFT
• Diana Lynn Pollock, M.D.
• Cesar Pomares Millan, RN
• Joann Pompeii, ARNP
• Mamata Ponnaganti, D.M.D.

• Mental Health Counselor in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.