Individual provider Active NPI

Traci Pauline Schreibman, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1306464466
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16960 Issued in FL
Practice address
8527 Casa del Lago BLDG 35a
Boca Raton, FL 33433-2107
Phone
(440) 668-5221
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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 SW16960 FL Primary

Addresses

Primary practice location

8527 Casa del Lago BLDG 35a
Boca Raton, FL 33433-2107

Mailing address

8527 Casa del Lago BLDG 35a
Boca Raton, FL 33433-2107
Phone (440) 668-5221

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
SW16960FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1306464466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8527 CASA DEL LAGO BLDG 35A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332107",
            "telephone_number": "440-668-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8527 CASA DEL LAGO BLDG 35A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332107",
            "telephone_number": "440-668-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIBMAN",
        "first_name": "TRACI",
        "middle_name": "PAULINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.