Individual provider Active NPI

Nidia Feliberti, LCSW

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1801979208
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3603 Issued in FL
Practice address
12701 S John Young Park Way Ste 202
Orlando, FL 32837
Phone
(407) 873-4644
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CBHCMS100998 FL
Clinical Social Worker 1041C0700X SW3603 FL Primary

Addresses

Primary practice location

12701 S John Young Park Way Ste 202
Orlando, FL 32837

Mailing address

14975 Huntcliff Park Way
Orlando, FL 32824-5721
Phone (407) 873-4644

Other practice location 1

221 W Cypress St
Kissimmee, FL 34741-3311
Phone (407) 873-4644

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
I20121214000326 FL Practitioner - Clinical Social Worker 3678725827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13574 Village Park Dr
Suite K 275
Orlando, FL 32837-7689
Phone (407) 203-1841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW3603FLMDClinical Social Worker
CBHCMS100998FLMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Carrousel Therapy Center Corporation Clinical CurrentSince Dec 31, 2017 Accepting new patients
Sky Counseling Services LLC CurrentSince Oct 23, 2022 Accepting new patients
Sky Counseling Services LLC Clinical CurrentSince Apr 1, 2020 Accepting new patients

Locations

1906 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 887-5505

13574 Village Park Dr
Ste K275
Orlando, FL 32837
Phone (407) 203-1841

12701 S John Young Pkwy
Ste 202
Orlando, FL 32837
Phone (407) 850-4060

3201 Budinger Ave
Saint Cloud, FL 34769
Phone (407) 498-4079

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1801979208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14975 HUNTCLIFF PARK WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328245721",
            "telephone_number": "407-873-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 S JOHN YOUNG PARK WAY STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32837",
            "telephone_number": "407-873-4644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 W Cypress St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347413311",
            "country_code": "US",
            "telephone_number": "407-873-4644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELIBERTI",
        "first_name": "NIDIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCMS100998",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.