Individual provider Active NPI

Julie Marie Cardello, LCSW

  • Clinical Social Worker
  • Daytona Beach, FL
National Provider Identifier
1336912674
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22243 Issued in FL
Practice address
405 N Halifax Ave Apt 106
Daytona Beach, FL 32118-4001
Phone
(412) 977-5412
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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 SW22243 FL Primary

Addresses

Primary practice location

405 N Halifax Ave Apt 106
Daytona Beach, FL 32118-4001

Mailing address

405 N Halifax Ave Apt 106
Daytona Beach, FL 32118-4001
Phone (412) 977-5412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW22243FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intercare Health Systems, LTD, Dba Intercare Psychiatric Services PastSince May 28, 2024 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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1336912674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N HALIFAX AVE APT 106",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184001",
            "telephone_number": "412-977-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N HALIFAX AVE APT 106",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184001",
            "telephone_number": "412-977-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDELLO",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.