Individual provider Active NPI

Kim Lizabeth Florio, LCSW

  • Clinical Social Worker
  • Leola, PA
National Provider Identifier
1578987327
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017999 Issued in PA
Practice address
219 W Main St
Leola, PA 17540-1753
Phone
(717) 556-0149
NPI assigned
Feb 14, 2014
Last updated
Apr 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CW017999 PA
Clinical Social Worker 1041C0700X CW017999 PA Primary

Addresses

Primary practice location

219 W Main St
Leola, PA 17540-1753

Mailing address

8 Winding Way
Denver, PA 17517-9165
Phone (717) 335-3785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140610002134 PA Practitioner - Clinical Social Worker 0749404804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Freeman M Chakara PCGroup PAC ID 8527061902, 8 clinicians

Practice addresses (Care Compare)

600 H Eden Rd
Lancaster, PA 17601-4205
Phone (717) 397-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017999PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman M Chakara PC CurrentSince Apr 1, 2014 Accepting new patients

Locations

600H Eden Rd
Lancaster, PA 17601
Phone (717) 397-1400

219 W Main St
Leola, PA 17540
Phone (717) 556-0149

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1578987327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WINDING WAY",
            "city": "DENVER",
            "state": "PA",
            "postal_code": "175179165",
            "telephone_number": "717-335-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W MAIN ST",
            "city": "LEOLA",
            "state": "PA",
            "postal_code": "175401753",
            "telephone_number": "717-556-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORIO",
        "first_name": "KIM",
        "middle_name": "LIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW017999",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leola, PA

Sources for this page

Verify at the official NPI Registry.