Individual provider Active NPI

Eliana Rina Marc, LCSW

  • Clinical Social Worker
  • Maitland, FL
National Provider Identifier
1104437854
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW21638 Issued in FL
Practice address
260 Lookout PL Ste 202
Maitland, FL 32751-4485
Phone
(833) 769-3524
Fax
(407) 232-9437
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X SW21638 FL Primary

Addresses

Primary practice location

260 Lookout PL Ste 202
Maitland, FL 32751-4485

Mailing address

260 Lookout PL Ste 202
Maitland, FL 32751-4485
Phone (833) 769-3524

Other practice location 1

6203 Steach Dr
Orlando, FL 32808-5436
Phone (469) 569-0137

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
I20250717001466 FL Practitioner - Clinical Social Worker 1951816917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

260 Lookout PL
Suite 202
Maitland, FL 32751-4485
Phone (407) 537-9450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Aug 14, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

Organizations & group practices 1

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": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1104437854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 LOOKOUT PL STE 202",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514485",
            "telephone_number": "833-769-3524",
            "fax_number": "407-232-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 LOOKOUT PL STE 202",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514485",
            "telephone_number": "833-769-3524",
            "fax_number": "407-232-9437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6203 Steach Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328085436",
            "country_code": "US",
            "telephone_number": "469-569-0137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARC",
        "first_name": "ELIANA",
        "middle_name": "RINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.