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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DENISE L SANFILIPPO LCSW
NPI 1497172605
Social Worker - Clinical in Venice, FL

Active since March 25, 2014PECOS EnrolledAccepts Medicare Assignment
77.37/100
CMS Quality Rating
8026 S TAMIAMI TRL, VENICE, FL 34293(352) 363-2025 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2026, Nov 13, 2023, Nov 10, 2023 and 1 more (4 updates tracked since 2020).

About Denise L Sanfilippo Lcsw NPPES

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

DENISE L SANFILIPPO LCSW (NPI 1497172605) is an individual clinical provider in Venice, Florida, licensed in Florida (SW14067) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1497172605
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDENISE L SANFILIPPOCredential: LCSW
Location Address8026 S TAMIAMI TRLVenice, FL 34293-5113
Mailing Address775 Tamiami Trl Ste 4bPort Charlotte, FL 33953-3059 · (352) 240-4978
Phone(352) 363-2025
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 25, 2014
Last NPPES UpdateAugust 5, 20264 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1497172605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW14067
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.
8026 S TAMIAMI TRL, Venice, FL 34293
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare 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

Denise L Sanfilippo 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 ID1658653738
PECOS Enrollment IDI20170125001439
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
460 services96 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
69 services69 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
28 services22 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
18 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34293 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 $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.31
Promoting Interoperability100
Improvement Activities40
Cost68.48

Other Providers at the Same Location NPPES

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

DNA COMPREHENSIVE THERAPY SERVICES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
8026 S TAMIAMI TRL, STE 103
VENICE, FL 34293
Sarasota County (833) 362-7935

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 Denise Sanfilippo's NPI number?

The NPI number for Denise Sanfilippo is 1497172605. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Where is Denise Sanfilippo located?

Denise Sanfilippo practices at 8026 S Tamiami Trl, Venice, FL 34293. The listed phone number is (352) 363-2025.

What is Denise Sanfilippo's specialty?

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

Is Denise Sanfilippo enrolled in Medicare?

Yes. Denise Sanfilippo 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 Denise Sanfilippo accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Denise Sanfilippo 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 Denise Sanfilippo was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.