Individual provider Active NPI

Lisa Susan Liporace, L.C.S.W.

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1205964236
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3729 Issued in FL
Practice address
580 Village Blvd
Suite 210
West Palm Beach, FL 33409-1904
Phone
(561) 688-5050
Fax
(561) 688-9565
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW3729 FL Primary

Addresses

Primary practice location

580 Village Blvd
Suite 210
West Palm Beach, FL 33409-1904

Mailing address

402 Via Placita
Palm Beach Gardens, FL 33418-1727
Phone (561) 630-5213

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
SW3729FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa S Liporace LCSW PA Clinical 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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205964236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 VIA PLACITA",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181727",
            "telephone_number": "561-630-5213",
            "fax_number": "561-656-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 VILLAGE BLVD",
            "address_2": "SUITE 210",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091904",
            "telephone_number": "561-688-5050",
            "fax_number": "561-688-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPORACE",
        "first_name": "LISA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3729",
            "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 Jul 8, 2007; 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.