Individual provider Active NPI

Marjorie Vielka Landron, LSW

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1972919561
Registry record updated Sep 17, 2024
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Feb 19, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20646 Issued in FL
Practice address
918 Mulberry Bush CT
Orlando, FL 32828-9208
Phone
(702) 305-5188
NPI assigned
Jul 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 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 8054-C NV
Clinical Social Worker 1041C0700X SW20646 FL Primary

Addresses

Primary practice location

918 Mulberry Bush CT
Orlando, FL 32828-9208

Mailing address

918 Mulberry Bush CT
Orlando, FL 32828-9208
Phone (702) 305-5188

Other identifiers 1

IdentifierTypeStateIssuer
460732507MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
SW20646FLMDClinical Social Worker
8054-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc CurrentSince Jul 10, 2023 Accepting new patients
Community Health Centers, Inc CurrentSince Jul 10, 2023 Accepting new patients
Oasis Counseling LLC CurrentSince Dec 22, 2021 Accepting new patients
Healing Tree Wellness Center CurrentSince Sep 23, 2024 Accepting new patients
Community Health Centers, Inc Current Accepting new patients
Community Health Centers, Inc Current Accepting new patients
All Around Health and Wellness Past Accepting new patients

Locations

225 E 7th St
Apopka, FL 32703
Phone (407) 886-6201

7900 Forest City Rd
Orlando, FL 32810
Phone (407) 614-5337

840 Mercy Dr
Pine Hills, FL 32808

212 E Main St
Tavares, FL 32778
Phone (352) 314-7409

110 S Woodland St
Winter Garden, FL 34787

2360 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 518-7629

Organizations & group practices 7

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": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1972919561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 MULBERRY BUSH CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289208",
            "telephone_number": "702-305-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 MULBERRY BUSH CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289208",
            "telephone_number": "702-305-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRON",
        "first_name": "MARJORIE",
        "middle_name": "VIELKA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8054-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460732507",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.