Individual provider Active NPI

Kristina Bilicki Paape, LCSW

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1922363167
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11302 Issued in FL
Practice address
3333 Clark Rd
Ste 110
Sarasota, FL 34231-8432
Phone
(941) 677-3088
Fax
(941) 921-9806
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X SW11302 FL Primary

Addresses

Primary practice location

3333 Clark Rd
Ste 110
Sarasota, FL 34231-8432

Mailing address

3333 Clark Rd
Ste 110
Sarasota, FL 34231-8437
Phone (941) 677-3088

Other names 1

  • Kristina Bilicki 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
I20140207001071 FL Practitioner - Clinical Social Worker 1456580745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abundance of Love and Wealth, LLCGroup PAC ID 4486881471, 3 clinicians

Practice addresses (Care Compare)

3333 Clark Rd
Suite 110
Sarasota, FL 34231-8437
Phone (941) 363-6004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW11302FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Theresa a Benedict LLC Clinical PastSince Oct 6, 2013 Accepting new patients

Organizations & group practices 2

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1922363167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CLARK RD",
            "address_2": "STE 110",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318437",
            "telephone_number": "941-677-3088",
            "fax_number": "941-924-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CLARK RD",
            "address_2": "STE 110",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318432",
            "telephone_number": "941-677-3088",
            "fax_number": "941-921-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAAPE",
        "first_name": "KRISTINA",
        "middle_name": "BILICKI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "BILICKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.