Practical Sage, Clinical Social Work Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PRACTICAL SAGE, CLINICAL SOCIAL WORK SERVICES

Practice address

126 3Rd Ave N Ste 104
Safety Harbor, FL 34695-3658

Phone

(727) 712-0039

NPI assigned

Apr 19, 2022

Last updated

Oct 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Gavitt-Rivera, LCSWNPI 1124463294

Title

Director

Phone

(727) 712-0039

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Gavitt Rivera, LCSW

  • Clinical Social Worker
  • Safety Harbor, FL
  • NPI 1124463294
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1144963810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HAMILTON AVE",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953213",
            "telephone_number": "727-712-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 3RD AVE N STE 104",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953658",
            "telephone_number": "727-712-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL SAGE, CLINICAL SOCIAL WORK SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "GAVITT-RIVERA",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-712-0039",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104967000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Philips
• Renee Pinheiro, PA-C, MPAS
• Matthew Potak
• Ailin Pournouri, DO
• Mona Prabhu, M.D.
• Laura Aleksandra Pravs, LMT
• Praxis Wellness LLC
• Primary Care Solutions, LLC
• Kimberly Miller Quick, MD
• Angelica Maria Quinones, APRN

• Clinical Social Worker in Safety Harbor, FL
• Providers in Safety Harbor, 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 19, 2022; 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.