Kristen Lee Janica, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17769 Issued in FL

Practice address

3601 Solana Circle
Unit D
Clermont, FL 34711

Phone

(352) 234-6134

Fax

(407) 583-6487

NPI assigned

Dec 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Lee Nardolillo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: kristen.nardolillo.1@22792.direct.athenahealth.com

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.

• Simply Sunshine, LLC

  • Clinical Social Worker
  • Yalaha, FL
  • NPI 1013887496
  NPD Authorized official
• Positivity Health and Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clermont, FL
  • NPI 1457067241
  NPD
• Mid Florida Counseling, LLC

  • Clinical Social Worker
  • Kissimmee, FL
  • NPI 1689973521

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1235645748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LIVE OAK AVE",
            "city": "YALAHA",
            "state": "FL",
            "postal_code": "34797",
            "telephone_number": "352-234-6134",
            "fax_number": "321-256-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SOLANA CIRCLE",
            "address_2": "UNIT D",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-234-6134",
            "fax_number": "407-583-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANICA",
        "first_name": "KRISTEN",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2025-01-06",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "NARDOLILLO",
            "middle_name": "LEE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul Witold Jakubowski, D.D.S.
• Ahmad Souheil Jalloul, M.D.
• Nader Jamaleddine, MD
• Wael A Jamaleddine, M.D.
• Dexter Anthony James, PSY.D
• Sherilynn Janz
• Zoe Jaruszewski
• Vaness Jasmin
• Kelly Eileen Jean-Louis, ARNP
• Amelia Lazarre Jean

• Clinical Social Worker in Clermont, FL
• Providers in Clermont, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.