Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dani Dimitrova , LCSW

Social Worker - Clinical β€’ Saint Augustine, FL

Active NPI 1578918876 Individual Practitioner Female Practitioner
Practice location in NPPES

204 Brantley Harbor Dr
Saint Augustine, FL 320861822

Call 2033003335 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

204 Brantley Harbor Dr

Saint Augustine, FL 320861822

Telephone 2033003335
Fax 9405744096
Organization at the Same NPPES Address or Phone
Mindspace Counseling Llc Facility NPI 1740937655

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Naugatuck, CT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Saint Augustine and Florida

32 active clinicians are listed under Social Worker - Clinical with a practice address in Saint Augustine, FL (13,469 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Augustine

9.4% of these 32 clinicians have the CMS telehealth indicator.

15.6% of these 32 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-16
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES CT 009620

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES FL SW17048

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Caqh
13817474 (CT)

Secondary Practice Locations

16 Hillside Ave

Naugatuck, CT 067704019

Phone: 2037290341

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location March 16, 2022

Registered at 204 BRANTLEY HARBOR DR, SAINT AUGUSTINE, FL 320861822 (Tel: 2033003335)

πŸ“
Updated Business Mailing Address March 16, 2022

Registered at 204 BRANTLEY HARBOR DR, SAINT AUGUSTINE, FL 320861822 (Tel: 2033003335)

πŸ‘€
Provider Name / Credentials Updated March 16, 2022

Recorded as DANI DIMITROVA, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2022

Social Worker (license number reported to NPPES: FL SW17048)

βœ…
NPI Profile Active August 25, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 25, 2016

Registered at 141 E MAIN ST, WATERBURY CLINICAL SERVICES 3RD FLOOR, WATERBURY, CT 067022310 (Tel: 2035750466)

πŸ“
Business Mailing Address (Initial Record) August 25, 2016

Registered at 141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 067022310 (Tel: 2035749000)

πŸ‘€
Provider Name / Credentials (Initial Record) August 25, 2016

Recorded as DANI DIMITROVA, MSW,BA,LMSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2016

Social Worker (license number reported to NPPES: CT 442)

🟒
Initial NPI Registration & Enumeration April 25, 2016

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1578918876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2016
Last Update: March 16, 2022
Sole Proprietor: No

Other Social Worker - Clinicals in Saint Augustine

Healthcare providers in Saint Augustine

Mailing Address

204 Brantley Harbor Dr

Saint Augustine, FL 320861822

Phone: 2033003335

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.