Individual provider Active NPI

Sandra Levern Lusunariz

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1174091540
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW5078 Issued in FL
Practice address
7731 N Military TRL Ste 4
West Palm Beach, FL 33410-7430
Phone
(561) 244-9499
Fax
(561) 345-3800
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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 ISW5078 FL Primary

Addresses

Primary practice location

7731 N Military TRL Ste 4
West Palm Beach, FL 33410-7430

Mailing address

7731 N Military TRL Ste 4
West Palm Beach, FL 33410-7430
Phone (561) 244-9499

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
ISW5078FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Child Counseling, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1174091540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7731 N MILITARY TRL STE 4",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334107430",
            "telephone_number": "561-244-9499",
            "fax_number": "561-345-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7731 N MILITARY TRL STE 4",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334107430",
            "telephone_number": "561-244-9499",
            "fax_number": "561-345-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSUNARIZ",
        "first_name": "SANDRA",
        "middle_name": "LEVERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW5078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.