Richard Tracy Warren II, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW13868 Issued in FL

Practice address

3469 W Boynton Beach Blvd Ste 2
PMB 1056
Boynton Beach, FL 33436-4639

Phone

(561) 299-0136

NPI assigned

Aug 23, 2017

Last updated

May 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Restorative Therapy for Wellness

  • Clinical Social Worker
  • Boynton Beach, FL
  • NPI 1992370910
  Authorized official Same address or phone
• Harm Reduction Center LLC

  • Psychiatry Physician
  • North Palm Beach, FL
  • NPI 1346735107

  Clinical

  NPD

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1053838763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 VICTORIA CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097850",
            "telephone_number": "561-602-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 W BOYNTON BEACH BLVD STE 2",
            "address_2": "PMB 1056",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364639",
            "telephone_number": "561-299-0136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Quantum Lakes Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334268308",
            "country_code": "US",
            "telephone_number": "561-602-4554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "RICHARD",
        "middle_name": "TRACY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2021-05-07",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warby Parker Inc.
• Jonathan Blair Warford, M.D.
• Michael J. Warner, PSY.D
• Samantha Warner
• Mark G Warren, D.P.M
• Mikaela C Washington
• Wendy Jane Waterman, MS, CCC-SLP
• Shannon Bre Anna Watkins
• We Are a Village LLC
• We Care 4 U, Inc (Comfort Keepers)

• Clinical Social Worker in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.