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IVAYLO HRISTOV LCSW
NPI 1255405320
Social Worker - Clinical in Shorewood, WI

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
4465 N OAKLAND AVE UNIT 310, SHOREWOOD, WI 53211(530) 574-6855(414) 755-7772 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 31, 2019, Dec 28, 2016 (2 updates tracked since 2016).

About Ivaylo Hristov Lcsw NPPES

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

IVAYLO HRISTOV LCSW (NPI 1255405320) is an individual clinical provider in Shorewood, Wisconsin, licensed in Wisconsin (7835-123) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1255405320
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameIVAYLO HRISTOVCredential: LCSW
Location Address4465 N OAKLAND AVE UNIT 310Shorewood, WI 53211-1662
Mailing Address10850 W Park Pl, Ste 100Milwaukee, WI 53224-3636 · (916) 418-0828 · Fax (916) 418-0838
Phone(530) 574-6855
Fax(414) 755-7772
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 20, 2006
Last NPPES UpdateJanuary 31, 20192 updates tracked since enumeration
✔ NPI 1255405320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WI · 7835-123✔ Licensed in CA · ASW 17168✔ Licensed in CA · LCSW27688
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.
4465 N OAKLAND AVE UNIT 310, Shorewood, WI 53211
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ivaylo Hristov Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486813029
PECOS Enrollment IDI20120316000585
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 53211 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 3

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

MINDFUL RESTORATION SERVICES LLC
Counselor (Professional)
4465 N OAKLAND AVE UNIT 310
SHOREWOOD, WI 53211
Milwaukee County (414) 939-6540
MS. MICHELE DONALSON LPC
Counselor (Professional)
4465 N OAKLAND AVE UNIT 310
SHOREWOOD, WI 53211
Milwaukee County (414) 939-6540
MISS TAYLER SIMONE CLARK LCSW
Social Worker (Clinical)
4465 N OAKLAND AVE UNIT 310
SHOREWOOD, WI 53211
Milwaukee County (414) 775-3278

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 Ivaylo Hristov's NPI number?

The NPI number for Ivaylo Hristov is 1255405320. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Ivaylo Hristov located?

Ivaylo Hristov practices at 4465 N Oakland Ave Unit 310, Shorewood, WI 53211. The listed phone number is (530) 574-6855.

What is Ivaylo Hristov's specialty?

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

Is Ivaylo Hristov enrolled in Medicare?

Yes. Ivaylo Hristov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ivaylo Hristov accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Medica and Network Health and 2 other insurers list Ivaylo Hristov 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 Ivaylo Hristov was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.