Organization Active NPI

Mindful Move With Maria LLC

  • Clinical Social Worker
  • Naples, FL
National Provider Identifier
1285097659
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6295 Issued in FL
Legal business name
MINDFUL MOVE WITH MARIA LLC
Practice address
14451 Manchester Dr
Naples, FL 34114-8630
Phone
(305) 479-3158
NPI assigned
Apr 1, 2016
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Dr. Maria Connie Pandolfi, LCSWNPI 1235595943
Title
Owner, Social Worker/Therapist
Phone
(305) 479-3158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW6295 FL Primary

Addresses

Primary practice location

14451 Manchester Dr
Naples, FL 34114-8630

Mailing address

14451 Manchester Dr
Naples, FL 34114-8630
Phone (305) 479-3158

Other identifiers 3

IdentifierTypeStateIssuer
IO402ZOtherFLMEDICARE PTAN
018344400MedicaidFL
IO402ZOtherFLMEDICARE PTAN GRP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160602000809 FL Part B Supplier - Clinic/Group Practice 1557651684 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL
O20161115001639 PA Part B Supplier - Clinic/Group Practice 1557651684 Receives reassigned benefits from 1 practitioner
Practice locations: Wynnewood, PA

National Provider Directory

National Provider Directory

Locations

5210 S University Dr
Ste 105
Davie, FL 33328
Phone (305) 900-7203

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1285097659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14451 MANCHESTER DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341148630",
            "telephone_number": "305-479-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14451 MANCHESTER DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341148630",
            "telephone_number": "305-479-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MOVE WITH MARIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "PANDOLFI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CONNIE",
        "authorized_official_title_or_position": "OWNER, SOCIAL WORKER/THERAPIST",
        "authorized_official_telephone_number": "305-479-3158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IO402Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018344400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN GRP",
            "identifier": "IO402Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.