Active NPI
S a Levitus L C S W P a
- Clinical Social Worker
- Fort Walton Beach, FL
National Provider Identifier
1124372438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW3602
- Legal business name
- S A LEVITUS L C S W P A
- Practice address
- 68 Beal Pkwy SW
Fort Walton Beach, FL 32548-5331 - Phone
- (850) 243-7035
- Fax
- (850) 243-8529
- NPI assigned
- Nov 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sheri A Levitus, LCSW
- Title
- PA
- Phone
- (850) 243-7035
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW3602 | FL | Primary |
Addresses
Primary practice location
68 Beal Pkwy SW
Fort Walton Beach, FL 32548-5331
Mailing address
PO Box 897
Fort Walton Beach, FL 32549-0897
Phone (850) 243-7035
Other names 1
- SHERI A LEVITUS LCSW
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121206000430 | FL | Part B Supplier - Clinic/Group Practice | 1850543406 | Practice locations: Destin, FL; Mary Esther, FL |
National Provider Directory
National Provider DirectoryLocations
151 Mary Esther Blvd
#201
Mary Esther, FL 32569
Phone (850) 862-6030
151 Mary Esther Blvd
Ste 302
Mary Esther, FL 32569
Phone (850) 243-1302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352332800000",
"number": "1124372438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 897",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325490897",
"telephone_number": "850-243-7035",
"fax_number": "850-243-8529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 BEAL PKWY SW",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325485331",
"telephone_number": "850-243-7035",
"fax_number": "850-243-8529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S A LEVITUS L C S W P A",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-08",
"last_updated": "2012-11-08",
"status": "A",
"authorized_official_last_name": "LEVITUS",
"authorized_official_first_name": "SHERI",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PA",
"authorized_official_telephone_number": "850-243-7035",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW3602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SHERI A LEVITUS LCSW",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.