Individual provider Active NPI

Karen Michelle Cino, LCSW

  • Clinical Social Worker
  • Lakeland, FL
National Provider Identifier
1073648762
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5970 Issued in FL
Practice address
1664 Williamsburg SQ
Lakeland, FL 33803-4278
Phone
(863) 519-0575
Fax
(863) 582-9251
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW5970 FL Primary

Addresses

Primary practice location

1664 Williamsburg SQ
Lakeland, FL 33803-4278

Mailing address

PO Box 1559
Bartow, FL 33831-1559
Phone (863) 519-0575

Other practice location 1

823 W Central Blvd
Orlando, FL 32805-1808
Phone (407) 836-8808

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
I20250110001351 FL Practitioner - Clinical Social Worker 4981132529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

533 N Nova Rd
Suite 114
Ormond Beach, FL 32174-4421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Assessments Inc CurrentSince Aug 29, 2025 Accepting new patients
Peace River Center for Personal Development Inc CurrentSince Jan 6, 2025 Accepting new patients
Florida Counseling Network LLC CurrentSince Aug 29, 2025 Accepting new patients
Peace River Center for Personal Development Inc CurrentSince Jan 6, 2025 Accepting new patients
Peace River Center for Personal Development Inc PastSince Apr 17, 2022 Accepting new patients

Locations

1664 Williamsburg Sq
Lakeland, FL 33803
Phone (863) 316-5498

1825 Gilmore Ave
Lakeland, FL 33805
Phone (863) 248-3300

115 E Granada Blvd
Ste 1
Ormond Beach, FL 32176
Phone (386) 265-1441

533 N Nova Rd
Ste 114
Ormond Beach, FL 32174
Phone (386) 227-7014

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1073648762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338311559",
            "telephone_number": "863-519-0575",
            "fax_number": "863-582-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 WILLIAMSBURG SQ",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034278",
            "telephone_number": "863-519-0575",
            "fax_number": "863-582-9251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 W Central Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328051808",
            "country_code": "US",
            "telephone_number": "407-836-8808",
            "fax_number": "407-836-8870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CINO",
        "first_name": "KAREN",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.