Individual provider Active NPI

Richard J. Loebl, LCSW, BCD

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1063435279
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6025 Issued in FL
Practice address
7284 W Palmetto Park Rd
Suite 201
Boca Raton, FL 33433-3406
Phone
(561) 955-6090
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW6025 FL Primary

Addresses

Primary practice location

7284 W Palmetto Park Rd
Suite 201
Boca Raton, FL 33433-3406

Mailing address

381 NW 36TH Ave
Deerfield Beach, FL 33442-8013
Phone (561) 955-6090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW6025FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Relationship Center of South FL PA Clinical Current Accepting new patients

Locations

7284 W Palmetto Park Rd
Ste 201
Boca Raton, FL 33433
Phone (561) 306-7771

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063435279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 NW 36TH AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428013",
            "telephone_number": "561-955-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7284 W PALMETTO PARK RD",
            "address_2": "SUITE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333406",
            "telephone_number": "561-955-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEBL",
        "first_name": "RICHARD",
        "middle_name": "J.",
        "credential": "LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.