Individual provider Active NPI

Jodie Michele Loiacono, LCSW

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1942640131
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14031 Issued in FL
Practice address
1473 NW 111TH Way
Coral Springs, FL 33071-6453
Phone
(954) 254-4957
NPI assigned
Jul 2, 2013
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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 SW14031 FL Primary

Addresses

Primary practice location

1473 NW 111TH Way
Coral Springs, FL 33071-6453

Mailing address

1473 NW 111TH Way
Coral Springs, FL 33071-6453
Phone (954) 254-4957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170405001513 FL Practitioner - Clinical Social Worker 3779869771 Reassigns benefits to 2 organizations
I20230817000945 NC Practitioner - Clinical Social Worker 3779869771 Reassigns benefits to 2 organizations
I20230817001140 GA Practitioner - Clinical Social Worker 3779869771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sondermind PCGroup PAC ID 0547795791, 64 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians
Center for Holistic Healing PCGroup PAC ID 7911922141, 9 clinicians

Practice addresses (Care Compare)

2530 Meridian Pkwy
FL 3
Durham, NC 27713-5272
Phone (866) 630-0966

333 SE 2ND Ave
Suite 2000
Miami, FL 33131-2185
Phone (866) 630-0966

3929 Tinsley Dr
Suite 104
High Point, NC 27265-1531
Phone (336) 841-4307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW14031FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Holistic Healing PC Clinical CurrentSince Feb 10, 2026 Accepting new patients
Henderson Behavioral Health, Inc. PastSince Nov 14, 2016 Accepting new patients

Locations

3929 Tinsley Dr
Ste 104
High Point, NC 27265
Phone (336) 841-3226

Organizations & group practices 5

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1942640131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 NW 111TH WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716453",
            "telephone_number": "954-254-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 NW 111TH WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716453",
            "telephone_number": "954-254-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOIACONO",
        "first_name": "JODIE",
        "middle_name": "MICHELE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.