Individual provider Active NPI

Laverne Marie Kalafor, LCSW, EDS, CCHT

  • Clinical Social Worker
  • Ellenton, FL
National Provider Identifier
1881025914
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11640 Issued in FL
Practice address
7018 US Highway 301 N
Ellenton, FL 34222-3030
Phone
(941) 720-5732
Fax
(914) 417-2371
NPI assigned
Nov 27, 2013
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11640 FL
Clinical Social Worker 1041C0700X SW11640 FL Primary

Addresses

Primary practice location

7018 US Highway 301 N
Ellenton, FL 34222-3030

Mailing address

7018 US Highway 301 N
Ellenton, FL 34222-3030
Phone (941) 720-5732

Other identifiers 1

IdentifierTypeStateIssuer
1649719519OtherFLTYPE II NPI

Other names 1

  • Miss Laverne Marie Womowicz Former name

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
I20140520000526 FL Practitioner - Clinical Social Worker 2062635030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7018 US Hwy 301 N
Ellenton, FL 34222-3030
Phone (941) 720-5732

8526 30TH St E
Parrish, FL 34219-8311
Phone (941) 720-5732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11640FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Consultative Services LLC Clinical CurrentSince Feb 26, 2020 Accepting new patients

Locations

3653 Cortez Rd W
Ste 110D
Bradenton, FL 34210
Phone (941) 347-0255

7018 US Highway 301 N
Ellenton, FL 34222
Phone (941) 720-5732

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": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1881025914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7018 US HIGHWAY 301 N",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342223030",
            "telephone_number": "941-720-5732",
            "fax_number": "914-417-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7018 US HIGHWAY 301 N",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342223030",
            "telephone_number": "941-720-5732",
            "fax_number": "914-417-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAFOR",
        "first_name": "LAVERNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW, EDS, CCHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "11640",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE II NPI",
            "identifier": "1649719519",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAVERNE",
            "last_name": "WOMOWICZ",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellenton, FL

Sources for this page

Verify at the official NPI Registry.