Danielle Kondrashov, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1897 SE Micco Dr
Port Saint Lucie, FL 34952-8039

Phone

(772) 828-9065

NPI assigned

Apr 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  Medicare reassignment Care Compare group NPD
• Clearpath Health LLC

  • Community/Behavioral Health Agency
  • Clearwater, FL
  • NPI 1104406362

  Clinical

  Medicare reassignment NPD
• Thriving Lane

  • Psychiatry Physician
  • Naples, FL
  • NPI 1376122515
  Medicare reassignment NPD
• Total Care Medical Specialist

  • Interventional Pain Medicine Physician
  • Palm Beach Gardens, FL
  • NPI 1548848310
  Medicare reassignment NPD
• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1306589692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 SE MICCO DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349528039",
            "telephone_number": "772-828-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 SE MICCO DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349528039",
            "telephone_number": "772-828-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDRASHOV",
        "first_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17198",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Kleis, MS, RDN, LDN
• Steven Kline, DDS
• Beatrice A Knight, RDN
• KNW Medical Services LLC
• Marissa Rose Kobylski, OTR/L
• Lawrence Edward Koves, LMHC
• Shannon Paige Krause, PTA
• Melenda Kunst, SW21903
• Sima Seidman Kurland, DO
• L & C Care LLC

• Clinical Social Worker in Port Saint Lucie, FL
• Providers in Port Saint Lucie, 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 Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.