Active NPI
Karmelita Fazlovic, CBHCMS
- Social Worker
- Sarasota, FL
National Provider Identifier
1780222315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2831 Ringling Blvd Ste 124F
Sarasota, FL 34237-5354 - Phone
- (941) 952-3999
- Fax
- (941) 217-4990
- NPI assigned
- Dec 13, 2019
- Last updated
- Dec 13, 2019
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2831 Ringling Blvd Ste 124F
Sarasota, FL 34237-5354
Mailing address
2831 Ringling Blvd Ste 124F
Sarasota, FL 34237-5354
Phone (941) 952-3999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 774581 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Sarasota |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cauffield and Associates, LLC | Current | Accepting new patients |
Locations
2831 Ringling Blvd
Ste 124F
Sarasota, FL 34237
Phone (941) 225-2374
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.
-
dba Anchor Behavioral Healthcare
- Clinical Psychologist
- Sarasota, FL
- NPI 1780917336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1780222315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 RINGLING BLVD STE 124F",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342375354",
"telephone_number": "941-952-3999",
"fax_number": "941-217-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 RINGLING BLVD STE 124F",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342375354",
"telephone_number": "941-952-3999",
"fax_number": "941-217-4990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAZLOVIC",
"first_name": "KARMELITA",
"credential": "CBHCMS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-13",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "774581",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Sarasota",
"affiliation": "N",
"address_1": "2831 Ringling Blvd Ste 124F",
"city": "Sarasota",
"state": "FL",
"country_code": "US",
"postal_code": "342375354",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.