Individual provider Active NPI

Carolyn Divers, LCSW

  • Clinical Social Worker
  • Kissimmee, FL
National Provider Identifier
1891140828
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 13326 Issued in FL
Practice address
1415 W Oak St
#422288
Kissimmee, FL 34741-4025
Phone
(407) 761-8529
NPI assigned
Apr 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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 SW 13326 FL Primary

Addresses

Primary practice location

1415 W Oak St
#422288
Kissimmee, FL 34741-4025

Mailing address

1415 W Oak St
#422288
Kissimmee, FL 34741-4025

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
I20230831000258 FL Practitioner - Clinical Social Worker 3971966441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmony United Florida, LLCGroup PAC ID 9638306673, 86 clinicians

Practice addresses (Care Compare)

500 S Florida Ave
Suite 330
Lakeland, FL 33801-5240
Phone (800) 457-4573

Merit-based Incentive Payment System (MIPS)

Final score
81.81 of 100Reported as group
Quality
80.53
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 13326FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony United Florida, LLC CurrentSince Nov 11, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 28, 2024 Accepting new patients
Harmony United Pennsylvania PLLC Past Accepting new patients

Locations

500 S Florida Ave
Ste 330
Lakeland, FL 33801

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100

15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: carolyn.divers@harmonyhealthcare.medentdirect.com

Organizations & group practices 3

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": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1891140828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W OAK ST",
            "address_2": "#422288",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W OAK ST",
            "address_2": "#422288",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414025",
            "telephone_number": "407-761-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVERS",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 13326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.