Individual provider Active NPI

Marbel Freay Locarno, LCSW

  • Clinical Social Worker
  • Kissimmee, FL
National Provider Identifier
1700989142
Registry record updated Jul 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7184 Issued in FL
Practice address
1400 W Oak St
Suite G
Kissimmee, FL 34741-4000
Phone
(321) 250-1054
Fax
(321) 256-0307
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2023

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
Clinical Social Worker 1041C0700X SW7184 FL Primary

Addresses

Primary practice location

1400 W Oak St
Suite G
Kissimmee, FL 34741-4000

Mailing address

1400 W Oak St
Suite G
Kissimmee, FL 34741-4000
Phone (321) 250-1054

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050730000030 FL Practitioner - Clinical Social Worker 5294763306 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW7184FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Psychiatry Center PL 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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689465600000",
    "number": "1700989142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W OAK ST",
            "address_2": "SUITE G",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414000",
            "telephone_number": "321-250-1054",
            "fax_number": "321-256-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W OAK ST",
            "address_2": "SUITE G",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414000",
            "telephone_number": "321-250-1054",
            "fax_number": "321-256-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREAY LOCARNO",
        "first_name": "MARBEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2023-07-16",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.