LORELLE M DESTEFANO LCSW
NPI 1194185165
Social Worker - Clinical in Fort Benning, GA

Active since March 03, 2016PECOS Enrolled
6600 VAN AALST BLVD, FORT BENNING, GA 31905(850) 855-4523 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2025, Feb 27, 2025, Feb 3, 2025 and 2 more (5 updates tracked since 2016).

About Lorelle M Destefano Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORELLE M DESTEFANO LCSW (NPI 1194185165) is an individual clinical provider in Fort Benning, Georgia, licensed in Florida (SW16232) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194185165
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLORELLE M DESTEFANOCredential: LCSW
Location Address6600 VAN AALST BLVDFort Benning, GA 31905-2102
Mailing Address6600 Van Aalst BlvdFort Benning, GA 31905-2102 · (850) 855-4523
Sole ProprietorNo
Enumeration DateMarch 3, 2016
Last NPPES UpdateMarch 5, 20255 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
NPI 1194185165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in FL · SW16232 Licensed in VA · 0904009238
Definition
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 0904009238 (VA)
6600 VAN AALST BLVD, Fort Benning, GA 31905

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lorelle M Destefano Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.31 – $164.04
Typical copayment $0.00 (range $13.32 – $41.01)
Most-billed visit code NA
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Surgery
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Hospitalist
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Emergency Medicine
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Family Medicine (Sleep Medicine)
6600 VAN AALST BLVD
FORT BENNING, GA 31905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lorelle Destefano's NPI number?

The NPI number for Lorelle Destefano is 1194185165. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Where is Lorelle Destefano located?

Lorelle Destefano practices at 6600 Van Aalst Blvd, Fort Benning, GA 31905. The listed phone number is (850) 855-4523.

What is Lorelle Destefano's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lorelle Destefano enrolled in Medicare?

Yes. Lorelle Destefano is registered in the Medicare PECOS enrollment system.

What insurance does Lorelle Destefano accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare and 1 other insurer list Lorelle Destefano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lorelle Destefano was last updated on March 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.