Active NPI
Mary L Nicolini, L.C.S.W.
- Clinical Social Worker
- Sarasota, FL
National Provider Identifier
1669508594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW9025
- Practice address
- 2100 Constitution Blvd
Suite 120
Sarasota, FL 34231-4146 - Phone
- (941) 544-4379
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SW9025 | FL | Primary |
Addresses
Primary practice location
2100 Constitution Blvd
Suite 120
Sarasota, FL 34231-4146
Mailing address
3304 New England St
Sarasota, FL 34231-8253
Phone (941) 923-6036
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1669508594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3304 NEW ENGLAND ST",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342318253",
"telephone_number": "941-923-6036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 CONSTITUTION BLVD",
"address_2": "SUITE 120",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342314146",
"telephone_number": "941-544-4379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLINI",
"first_name": "MARY",
"middle_name": "L",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW9025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.