Individual provider Active NPI

Sean Jagpersad, MSW

  • Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1104696624
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
325 SW 28TH St
Fort Lauderdale, FL 33315-2612
Phone
(954) 357-5005
Fax
(954) 357-6533
NPI assigned
Jan 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

325 SW 28TH St
Fort Lauderdale, FL 33315-2612

Mailing address

900 NW 31St Ave Ste 2000
Fort Lauderdale, FL 33311-6653
Phone (954) 357-5005

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
I20260611004009 FL Practitioner - Clinical Social Worker 0547732406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Clinical and Forensic Psychology IncGroup PAC ID 9537149729, 5 clinicians

Practice addresses (Care Compare)

2251 NW 29TH CT
Good Hope CT
Oakland Park, FL 33311-2147
Phone (954) 677-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Broward County CurrentSince Jan 7, 2024 Accepting new patients

Locations

325 SW 28th St
Ft Lauderdale, FL 33315
Phone (954) 357-4880

900 NW 31st Ave
Ste 2000
Ft Lauderdale, FL 33311
Phone (954) 357-5005

Organizations & group practices 2

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": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1104696624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NW 31ST AVE STE 2000",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333116653",
            "telephone_number": "954-357-5005",
            "fax_number": "954-357-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SW 28TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152612",
            "telephone_number": "954-357-5005",
            "fax_number": "954-357-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGPERSAD",
        "first_name": "SEAN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.