Anita Dzelilovic, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15872 Issued in NU

Practice address

1500 Lee Blvd
Lehigh Acres, FL 33936-4835

Phone

(315) 765-9684

NPI assigned

Oct 26, 2020

Last updated

Oct 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Florida Atlantic University, College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.43 of 100Reported as group

Quality

74.02

Promoting interoperability

100

Improvement activities

40

Cost

77.26

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anita.dzelilovic.1@13142.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dna Comprehensive Therapy Services, LLC

  dba Elite DNA Therapy Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Myers, FL
  • NPI 1316363757

  Clinical

  Medicare reassignment Care Compare group NPD
• Bonita Springs Retirement Village, Inc.

  dba The Terraces at Bonita Springs

  • Skilled Nursing Facility
  • Bonita Springs, FL
  • NPI 1700126802
  NPD

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1396345716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 NE 19TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092716",
            "telephone_number": "315-765-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364835",
            "telephone_number": "315-765-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZELILOVIC",
        "first_name": "ANITA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "SW15872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "address_1": "1500 Lee Blvd",
            "city": "Lehigh Acres",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339364835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dumart Aesthetics
• Guyvenel Dumeus
• Roosvelt Durosier
• Dva Healthcare Renal Care Inc (Lehigh Acres Dialysis)
• Dwic of Tampa Bay, Inc (MedExpress Urgent Care - Lehigh Acres, Homestead Rd N)
• E& M Medical Billing Services (E& m medical services)
• East Lee County Rebabilitation Center Inc
• Julianne Eastmond
• Jerome Robert Ebacher, LCSW
• Herminia Echenique, RBT

• Clinical Social Worker in Lehigh Acres, FL
• Providers in Lehigh Acres, 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 Oct 26, 2020; 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.