Individual provider Active NPI

Hallie Rebecca Talov, LCSW

  • Clinical Social Worker
  • Venice, FL
National Provider Identifier
1295089696
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12953 Issued in FL
Practice address
4242 S Tamiami TRL
Venice, FL 34293-5105
Phone
(941) 800-4924
NPI assigned
Nov 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 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 SW12953 FL Primary

Addresses

Primary practice location

4242 S Tamiami TRL
Venice, FL 34293-5105

Mailing address

4242 S Tamiami TRL
Venice, FL 34293-5105
Phone (941) 800-4924

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
I20180813001989 FL Practitioner - Clinical Social Worker 7315295086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Betterment Mental Health Counseling, Inc.Group PAC ID 6709249642, 8 clinicians

Practice addresses (Care Compare)

4242 S Tamiami TRL
Venice, FL 34293-5105
Phone 9418004924101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW12953FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Betterment Mental Health Counseling, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Centerstone of Florida, Inc. CurrentSince Jun 27, 2018 Accepting new patients
Centerstone of Florida, Inc. CurrentSince Sep 17, 2023 Accepting new patients

Locations

2020 26th Ave E
Bradenton, FL 34208
Phone (941) 782-4600

4010 Sawyer Rd
Sarasota, FL 34233
Phone (941) 924-9892

4242 S Tamiami Trl
Venice, FL 34293
Phone (941) 800-4924

Organizations & group practices 3

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": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1295089696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 S TAMIAMI TRL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935105",
            "telephone_number": "941-800-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 S TAMIAMI TRL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935105",
            "telephone_number": "941-800-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALOV",
        "first_name": "HALLIE",
        "middle_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.