Individual provider Active NPI

Nicole Scrivani

  • Clinical Social Worker
  • Port Saint Lucie, FL
National Provider Identifier
1871441691
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25823 Issued in FL
Practice address
11582 SW Village Pkwy # 1033
Port Saint Lucie, FL 34987-2392
Phone
(772) 224-8242
NPI assigned
Mar 18, 2026
Last updated
Oct 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 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 25823 FL Primary

Addresses

Primary practice location

11582 SW Village Pkwy # 1033
Port Saint Lucie, FL 34987-2392

Mailing address

11582 SW Village Pkwy # 1033
Port Saint Lucie, FL 34987-2392

Other practice location 1

828 SW Palm City Rd
Stuart, FL 34994-2820
Phone (772) 237-1281

Other practice location 2

2100 SE Hillmoor Dr Ste 201
Port Saint Lucie, FL 34952-8057
Phone (772) 237-1281

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
I20260326003167 FL Practitioner - Clinical Social Worker 7416432539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Medical and Health Services LLCGroup PAC ID 4981097318, 18 clinicians

Practice addresses (Care Compare)

145 NW Central Park PLZ
Suite 200
Port St Lucie, FL 34986-2482
Phone (772) 497-5985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25823FLMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Medical and Health Services LLC Clinical CurrentSince Feb 16, 2026 Accepting new patients

Locations

145 NW Central Park Plz
Ste 200
Port St Lucie, FL 34986
Phone (772) 303-1987

10 SE Central Pkwy
Ste 101
Stuart, FL 34994
Phone (772) 497-5895

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, 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": "1773792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1871441691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11582 SW VILLAGE PKWY # 1033",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11582 SW VILLAGE PKWY # 1033",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872392",
            "telephone_number": "772-224-8242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 SW Palm City Rd",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349942820",
            "country_code": "US",
            "telephone_number": "772-237-1281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 SE Hillmoor Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349528057",
            "country_code": "US",
            "telephone_number": "772-237-1281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCRIVANI",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "25823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.