Active NPI
Neil Craig Wolfson, LCSW
- Clinical Social Worker
- Boca Raton, FL
National Provider Identifier
1104307552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15635
- Practice address
- 123 NW 13TH St Ste 222
Boca Raton, FL 33432-1619 - Phone
- (561) 899-9420
- NPI assigned
- Aug 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW15635 | FL | Primary |
Addresses
Primary practice location
123 NW 13TH St Ste 222
Boca Raton, FL 33432-1619
Mailing address
123 NW 13TH St Ste 222
Boca Raton, FL 33432-1619
Phone (561) 899-9420
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW15635 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peaceful Path Counseling, LLC | Clinical | Current | Accepting new patients |
Locations
123 NW 13th St
Ste 222
Boca Raton, FL 33432
Phone (561) 206-4601
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.
-
- Clinical Social Worker
- Boca Raton, FL
- NPI 1033691613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1104307552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 NW 13TH ST STE 222",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334321619",
"telephone_number": "561-899-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 NW 13TH ST STE 222",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334321619",
"telephone_number": "561-899-9420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFSON",
"first_name": "NEIL",
"middle_name": "CRAIG",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-23",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15635",
"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 Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.