Individual provider Active NPI

Lezlie Ludwig Brezin, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1073979274
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 10633 Issued in FL
Practice address
9960 Central Park Blvd N
Boca Raton, FL 33428-1759
Phone
(954) 592-1440
Fax
(561) 483-3342
NPI assigned
Jan 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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 SW 10633 FL Primary

Addresses

Primary practice location

9960 Central Park Blvd N
Boca Raton, FL 33428-1759

Mailing address

9960 Central Park Blvd N
Boca Raton, FL 33428-1759
Phone (954) 592-1440

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 10633FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1073979274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 CENTRAL PARK BLVD N",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281759",
            "telephone_number": "954-592-1440",
            "fax_number": "561-483-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9960 CENTRAL PARK BLVD N",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281759",
            "telephone_number": "954-592-1440",
            "fax_number": "561-483-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZIN",
        "first_name": "LEZLIE",
        "middle_name": "LUDWIG",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.