Individual provider Active NPI

Peggy Sue Slusarski, LCSW

  • Clinical Social Worker
  • Beverly Hills, FL
National Provider Identifier
1235824665
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11047 Issued in FL
Practice address
2934 W Beamwood Dr
Beverly Hills, FL 34465-3026
Phone
(517) 990-4406
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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 SW11047 FL Primary

Addresses

Primary practice location

2934 W Beamwood Dr
Beverly Hills, FL 34465-3026

Mailing address

708 NE 6TH St
Crystal River, FL 34428-3704
Phone (352) 228-4969

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
I20230530002304 FL Practitioner - Clinical Social Worker 6002273497 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW11047FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jul 15, 2025 Accepting new patients
Project Health Inc. CurrentSince May 23, 2023 Accepting new patients
Project Health Inc. CurrentSince May 23, 2023 Accepting new patients
Project Health Inc Current Accepting new patients

Locations

547 SE Fort Island Trl
Ste E
Crystal River, FL 34429
Phone (352) 651-5106

120 N Montgomery Ave
Inverness, FL 34450
Phone (352) 419-5760

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1425 S US 301
Sumterville, FL 33585

1389 S US 301
Sumterville, FL 33585

Organizations & group practices 4

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": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1235824665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 NE 6TH ST",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344283704",
            "telephone_number": "352-228-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 W BEAMWOOD DR",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653026",
            "telephone_number": "517-990-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUSARSKI",
        "first_name": "PEGGY",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, FL

Sources for this page

Verify at the official NPI Registry.