Individual provider Active NPI

Edwin Ernesto Dilone, LCSW

  • Clinical Social Worker
  • St Petersburg, FL
National Provider Identifier
1790323103
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW21239 Issued in FL
Practice address
7901 4TH St N # 32754
St Petersburg, FL 33702-4305
Phone
(904) 435-4693
NPI assigned
Dec 16, 2019
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW21239 FL Primary

Addresses

Primary practice location

7901 4TH St N # 32754
St Petersburg, FL 33702-4305

Mailing address

7901 4TH St N # 32754
St Petersburg, FL 33702-4305
Phone (904) 435-4693

Other identifiers 1

IdentifierTypeStateIssuer
SW21239OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH

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
I20240606004048 FL Practitioner - Clinical Social Worker 3476095399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4741 Atlantic Blvd
Jacksonville, FL 32207-1114
Phone (904) 345-0211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
San Jose Therapy Services LLC Clinical CurrentSince Apr 10, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Dec 10, 2024 Accepting new patients
Breakthroughs Counseling & Recovery Clinical PastSince Jul 1, 2024 Accepting new patients
Mobile Medical Industries Inc PastSince Dec 1, 2019 Accepting new patients
Breakthroughs Counseling and Recovery Inc. PastSince Mar 1, 2023 Accepting new patients

Locations

4741 Atlantic Blvd
Jacksonville, FL 32207
Phone (904) 345-0211

4741 Atlantic Blvd
Ste B3
Jacksonville, FL 32207
Phone (904) 248-0005

4741 Atlantic Blvd
Ste C
Jacksonville, FL 32207
Phone (904) 345-0211

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1790323103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N # 32754",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "904-435-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N # 32754",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "904-435-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILONE",
        "first_name": "EDWIN",
        "middle_name": "ERNESTO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-16",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "SW21239",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.