Individual provider Active NPI

Magdalena R Cicarelli, LCSW

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1861738312
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8036 Issued in FL
Practice address
7301 Wiles Rd Ste 107
Coral Springs, FL 33067-4105
Phone
(954) 478-8568
NPI assigned
Jan 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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 SW8036 FL Primary

Addresses

Primary practice location

7301 Wiles Rd Ste 107
Coral Springs, FL 33067-4105

Mailing address

7301 Wiles Rd Ste 107
Coral Springs, FL 33067-4105
Phone (954) 478-8568

Other practice location 1

7301 Wiles Rd Ste 202
Coral Springs, FL 33067-4105
Phone (954) 755-0909

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
I20181009003552 FL Practitioner - Clinical Social Worker 9739431321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7401 Wiles Rd
Suite 211
Coral Springs, FL 33067-2036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cicarelli Counseling Services, LLC CurrentSince Mar 11, 2018 Accepting new patients

Locations

7301 Wiles Rd
Ste 107
Coral Springs, FL 33067
Phone (754) 600-3399

7401 Wiles Rd
Ste 211
Coral Springs, FL 33067
Phone (954) 478-8568

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1861738312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 WILES RD STE 107",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674105",
            "telephone_number": "954-478-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 WILES RD STE 107",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674105",
            "telephone_number": "954-478-8568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7301 Wiles Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330674105",
            "country_code": "US",
            "telephone_number": "954-755-0909",
            "fax_number": "954-755-5692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICARELLI",
        "first_name": "MAGDALENA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.