Individual provider Active NPI

Lori Sarvis, LCSW

  • Clinical Social Worker
  • Deerfield Beach, FL
National Provider Identifier
1023091675
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW2627 Issued in FL
Practice address
2151 W Hillsboro Blvd Ste 203
Deerfield Beach, FL 33442-1275
Phone
(954) 426-0410
Fax
(954) 596-4822
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW2627 FL Primary

Addresses

Primary practice location

2151 W Hillsboro Blvd Ste 203
Deerfield Beach, FL 33442-1275

Mailing address

2151 W Hillsboro Blvd
Deerfield Beach, FL 33442-1275
Phone (954) 426-0410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190802002806 FL Practitioner - Clinical Social Worker 4486981115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5634 Parkwalk Cir E
Boynton Beach, FL 33472-2314
Phone (954) 426-0410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW2627FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lori Sarvis , LCSW PA CurrentSince Jan 28, 2019 Accepting new patients

Locations

2151 W Hillsboro Blvd
Ste 203
Deerfield Beach, FL 33442
Phone (954) 426-0410

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1023091675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421275",
            "telephone_number": "954-426-0410",
            "fax_number": "954-596-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 W HILLSBORO BLVD STE 203",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421275",
            "telephone_number": "954-426-0410",
            "fax_number": "954-596-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARVIS",
        "first_name": "LORI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.