Individual provider Active NPI

Matthew Navratil, LCSW

  • Clinical Social Worker
  • Delray Beach, FL
National Provider Identifier
1124567375
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11902 Issued in FL
Practice address
3333 S Congress Ave
Suite 402
Delray Beach, FL 33445-7308
Phone
(561) 274-6133
NPI assigned
Feb 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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 SW11902 FL Primary

Addresses

Primary practice location

3333 S Congress Ave
Suite 402
Delray Beach, FL 33445-7308

Mailing address

3333 S Congress Ave
Suite 402
Delray Beach, FL 33445-7308
Phone (561) 274-6133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW11902FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1124567375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S CONGRESS AVE",
            "address_2": "SUITE 402",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334457308",
            "telephone_number": "561-274-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S CONGRESS AVE",
            "address_2": "SUITE 402",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334457308",
            "telephone_number": "561-274-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVRATIL",
        "first_name": "MATTHEW",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.