Elizabeth P Sumpf, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12495 Issued in FL

Practice address

2300 E Oakland Park Blvd
Suite 206
Plantation, FL 33306

Phone

(954) 540-4579

Fax

(866) 757-5778

NPI assigned

Jun 23, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Susan J Mendelsohn PA

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1376016501
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573948800000",
    "number": "1124400437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4737 N OCEAN DRIVE",
            "address_2": "#184",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082920",
            "telephone_number": "954-540-4579",
            "fax_number": "866-757-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E OAKLAND PARK BLVD",
            "address_2": "SUITE 206",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "954-540-4579",
            "fax_number": "866-757-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMPF",
        "first_name": "ELIZABETH",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2019-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjalie Sukhwa, LMHC
• Emad M Suleiman
• Diana Patricia Sullivan, L.M.H.C C.A.P
• Maureen L Sullivan, MD
• Cameron David Summers-Powell
• Brian Matthew Sumpter, DO
• Sarah Sun
• Sunkidz Pediatric Dentistry Group Plantation LLC
• Sunkidz Pediatric Dentistry Group Plantation LLC
• Sunlife OB-GYN Services of Ft Lauderdale PA

• Clinical Social Worker in Plantation, FL
• Providers in Plantation, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.