Individual provider Active NPI

Kristina Felicitas Scalici, LCSW

  • Clinical Social Worker
  • Henrico, VA
National Provider Identifier
1336783166
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16797 Issued in FL
Practice address
1907 Moonwind PL
Henrico, VA 23238-3710
Phone
(352) 470-6442
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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 0904014139 VA
Clinical Social Worker 1041C0700X SW16797 FL Primary

Addresses

Primary practice location

1907 Moonwind PL
Henrico, VA 23238-3710

Mailing address

1907 Moonwind PL
Henrico, VA 23238-3710

Other practice location 1

1515 E Silver Springs Blvd Ste 217
Ocala, FL 34470-6844
Phone (352) 732-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904014139VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aet of Central Florida of Schaeffer & Henderson, P.a. PastSince Nov 1, 2019 Accepting new patients

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": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1336783166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 MOONWIND PL",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232383710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 MOONWIND PL",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232383710",
            "telephone_number": "352-470-6442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 E Silver Springs Blvd Ste 217",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344706844",
            "country_code": "US",
            "telephone_number": "352-732-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCALICI",
        "first_name": "KRISTINA",
        "middle_name": "FELICITAS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014139",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.