Dimitrios E Kalogiannis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9189 Issued in FL

Practice address

4320 NW 94TH Ter
Sunrise, FL 33351-7603

Phone

(561) 212-7998

NPI assigned

May 7, 2017

Reactivated

May 10, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1494115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1861928046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 NW 94TH TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517603",
            "telephone_number": "561-212-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 NW 94TH TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517603",
            "telephone_number": "561-212-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALOGIANNIS",
        "first_name": "DIMITRIOS",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-07",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "deactivation_date": "2020-11-10",
        "reactivation_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Just Learning Corp
• Doron J Kahn, MD
• Kai Wellness Center
• Sohail A. Kakezai, MD
• Annie Koruthu Kalayil
• Craig S Kalter, M.D.
• Maria Lereina Olivar Kampitan
• Stuart Kaplan, M.D.
• Manisha Kapupara, P.T.
• Karen Nayar

• Clinical Social Worker in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.