Organization Active NPI

S a Levitus L C S W P a

  • Clinical Social Worker
  • Fort Walton Beach, FL
National Provider Identifier
1124372438
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3602 Issued in FL
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

Updated by the provider on Nov 8, 2012

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121206000430 FL Part B Supplier - Clinic/Group Practice 1850543406 Practice locations: Destin, FL; Mary Esther, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.