Active NPI
Marilyn Catharine Kisiel, L.C.S.W.
- Clinical Social Worker
- Clearwater, FL
National Provider Identifier
1619950268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 1534
- Practice address
- 2748 Sea Pines Cir E
Clearwater, FL 33761-3007 - Phone
- (727) 724-1965
- Fax
- (727) 239-7765
- NPI assigned
- Nov 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 1534 | FL | Primary |
Addresses
Primary practice location
2748 Sea Pines Cir E
Clearwater, FL 33761-3007
Mailing address
2748 Sea Pines Cir E
Clearwater, FL 33761-3007
Phone (727) 724-1965
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW 1534 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benjamin N Cohen PHD PA | Past | Accepting new patients | |
| R Randolph Butts PSYD PA | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Tarpon Springs, FL
- NPI 1750503363
-
- Clinical Psychologist
- Seminole, FL
- NPI 1407973142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619950268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2748 SEA PINES CIR E",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613007",
"telephone_number": "727-724-1965",
"fax_number": "727-239-7765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2748 SEA PINES CIR E",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613007",
"telephone_number": "727-724-1965",
"fax_number": "727-239-7765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISIEL",
"first_name": "MARILYN",
"middle_name": "CATHARINE",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 1534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.