Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Decarlos Kouvaris Scippio, LCSW

Individual provider Clinical Social Worker · NPI 1093186777

Decarlos Kouvaris Scippio, LCSW is a Clinical Social Worker in Lake City, Florida. Qualified in 2015, 11 years ago. Practices with Grow Healthcare Group PA, a 1,020-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

226 SW Pine Forest Ct
Lake City, FL 32024
Phone: (386) 344-8355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW21614 (FL)

Record details

NPI number1093186777
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 7, 2015
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 18, 2023
Mailing address226 Sw Pine Forest Ct, Lake City, FL 32024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Grow Healthcare Group Pa — 1020 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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