Inner Light Psychotherapy Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INNER LIGHT PSYCHOTHERAPY INC

Practice address

2808 NE 22ND St
Fort Lauderdale, FL 33305-2804

Phone

(954) 478-0770

NPI assigned

Oct 9, 2025

Organization subpart

No

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

Authorized official

Name

Sherri Issa, LCSWNPI 1730164914

Title

Owner

Phone

(954) 478-0770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherri Issa, LCSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
  • NPI 1730164914
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1144195108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 NE 22ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333052804",
            "telephone_number": "954-478-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 NE 22ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333052804",
            "telephone_number": "954-478-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER LIGHT PSYCHOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-478-0770",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Oct 9, 2025; 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.