Individual provider Active NPI

Larry Phillip Auerbach, LCSW

  • Clinical Social Worker
  • Port Saint Lucie, FL
National Provider Identifier
1114983228
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3615 Issued in FL
Practice address
938 SW Bayshore Blvd
Port Saint Lucie, FL 34983-1840
Phone
(772) 343-9400
Fax
(772) 343-9800
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

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 SW3615 FL Primary

Addresses

Primary practice location

938 SW Bayshore Blvd
Port Saint Lucie, FL 34983-1840

Mailing address

938 SW Bayshore Blvd
Port Saint Lucie, FL 34983-1840
Phone (772) 343-9400

Other identifiers 1

IdentifierTypeStateIssuer
SW3615OtherFLSTATE LICENSE NUMBER

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
I20051228000457 FL Practitioner - Clinical Social Worker 0345262788 Practice locations: PT. St. Lucie, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Barry University School of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1801 SE Hillmoor Dr
Suite B 106
PT. St. Lucie, FL 34952-7500
Phone (772) 335-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Larry P. Auerbach, LCSW Clinical Past Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114983228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 SW BAYSHORE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831840",
            "telephone_number": "772-343-9400",
            "fax_number": "772-343-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 SW BAYSHORE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831840",
            "telephone_number": "772-343-9400",
            "fax_number": "772-343-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUERBACH",
        "first_name": "LARRY",
        "middle_name": "PHILLIP",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "SW3615",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.