Individual provider Active NPI

Cristey Iannone, LICSW

  • Clinical Social Worker
  • Naples, FL
National Provider Identifier
1174348205
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW1120763 Issued in MA
Practice address
1970 River Reach Dr
Naples, FL 34104-5242
Phone
(360) 929-0798
NPI assigned
Nov 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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 SW25318 FL
Clinical Social Worker 1041C0700X LICSW1120763 MA Primary

Addresses

Primary practice location

1970 River Reach Dr
Naples, FL 34104-5242

Mailing address

1970 River Reach Dr Apt 188
Naples, FL 34104-5241

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
I20260113002092 FL Practitioner - Clinical Social Worker 4082190608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Premier Psychology, PLLC 6 clinicians

Practice addresses (Care Compare)

830 Anchor Rode Dr
Naples, FL 34103-2739
Phone (239) 234-6333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW25318FLMDClinical Social Worker
LICSW1120763MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Psychology, PLLC CurrentSince Jan 13, 2026 Accepting new patients

Locations

830 Anchor Rode Dr
Naples, FL 34103
Phone (239) 234-6333

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": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1174348205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 RIVER REACH DR APT 188",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341045241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 RIVER REACH DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341045242",
            "telephone_number": "360-929-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNONE",
        "first_name": "CRISTEY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25318",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1120763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.