Individual provider Active NPI

Shari Marino

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1821426206
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10819 Issued in FL
Practice address
5035 Edgewater Dr
Orlando, FL 32810-5226
Phone
(407) 620-4150
NPI assigned
Oct 23, 2013
Last updated
Oct 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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 SW10819 FL Primary

Addresses

Primary practice location

5035 Edgewater Dr
Orlando, FL 32810-5226

Mailing address

5035 Edgewater Dr.
Orlando, FL 32810
Phone (407) 620-4150

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
I20250128000759 FL Practitioner - Clinical Social Worker 9931638509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Families First of Florida LLCGroup PAC ID 6800325457, 4 clinicians

Practice addresses (Care Compare)

4902 Eisenhower Blvd
Suite 315
Tampa, FL 33634-6344
Phone (813) 290-8560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW10819FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Families First of Florida LLC CurrentSince Dec 11, 2024 Accepting new patients
Families First of Florida PastSince Aug 8, 2021 Accepting new patients

Locations

4902 Eisenhower Blvd
Ste 315
Tampa, FL 33634
Phone (813) 786-7681

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, 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": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1821426206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 EDGEWATER DR.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32810",
            "telephone_number": "407-620-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105226",
            "telephone_number": "407-620-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "SHARI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.