Individual provider Active NPI

Rachel L Jaworski, LCSW

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1215623046
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16678 Issued in FL
Practice address
5157 Park Club Dr
Sarasota, FL 34235-1801
Phone
(845) 540-2555
NPI assigned
Apr 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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 16678 FL Primary

Addresses

Primary practice location

5157 Park Club Dr
Sarasota, FL 34235-1801

Mailing address

331 Gris Sky LN
Bradenton, FL 34212-3605
Phone (609) 230-2433

Other practice location 1

4602 Northgate Ct
Sarasota, FL 34234-2125
Phone (845) 540-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230428000563 FL Practitioner - Clinical Social Worker 2567827470 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16678FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Quality BHS Florida, LLC Clinical CurrentSince Apr 15, 2023 Accepting new patients

Locations

4250 66th St N
Kenneth City, FL 33709
Phone (350) 250-2435

5860 W Junior College Rd
Key West, FL 33040
Phone (305) 293-1299

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

5157 Park Club Dr
Sarasota, FL 34235
Phone (941) 377-0022

4602 Northgate Ct
Sarasota, FL 34234
Phone (941) 355-2913

2180 10th Ave
Vero Beach, FL 32960
Phone (772) 564-9511

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": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1215623046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 GRIS SKY LN",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342123605",
            "telephone_number": "609-230-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5157 PARK CLUB DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342351801",
            "telephone_number": "845-540-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4602 Northgate Ct",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342342125",
            "country_code": "US",
            "telephone_number": "845-540-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAWORSKI",
        "first_name": "RACHEL",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.