Organization Active NPI

Warrior Within

  • Clinical Social Worker
  • Lake Worth, FL
National Provider Identifier
1154904407
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WARRIOR WITHIN
Practice address
7231 Sandgrace LN
Lake Worth, FL 33463-7273
Phone
(561) 809-1906
NPI assigned
May 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Whitney ChernerNPI 1366939357
Title
LCSW
Phone
(561) 809-1906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7231 Sandgrace LN
Lake Worth, FL 33463-7273

Mailing address

7231 Sandgrace LN
Lake Worth, FL 33463-7273
Phone (561) 809-1906

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220418002603 FL Part B Supplier - Clinic/Group Practice 8527455765 Receives reassigned benefits from 3 practitioners
Practice locations: Lake Worth, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1154904407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 SANDGRACE LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637273",
            "telephone_number": "561-809-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 SANDGRACE LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637273",
            "telephone_number": "561-809-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRIOR WITHIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "CHERNER",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "561-809-1906"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.