Priscilla Kunkel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10549 Issued in FL

Practice address

236 Pasadena PL
Orlando, FL 32803-3828

Phone

(321) 594-8815

Fax

(407) 442-3710

NPI assigned

Dec 5, 2011

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

Other identifiers 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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Families First of Florida LLC

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1881746543
  Medicare reassignment NPD
• McGuire Clinical Social Work Services, Inc

  dba C.O.P.E. Counseling & Family Services

  • Clinical Social Worker
  • Orlando, FL
  • NPI 1083056808
  NPD (past)

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1679841696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 CHINOOK TRL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514080",
            "telephone_number": "203-610-1585",
            "fax_number": "407-442-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 PASADENA PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033828",
            "telephone_number": "321-594-8815",
            "fax_number": "407-442-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKEL",
        "first_name": "PRISCILLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004577600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sadeep Kumbhamuelil John, PMHNP-BC
• Leslie C. Kuna, CRNA
• Eric T Kunichika, MD
• Pramatha Vineeth Kumar Kunikullaya
• Julie Ann Kunitser, PA C
• Krishna Reddy Kunta
• Enoch Kuo
• Ja-Lynn Kuo, M.D.
• Elizabeth Love Kupferman, RN, LMHC
• Stanley J Kupiszewski, MD

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, 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 18, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.