Individual provider Active NPI

Stephanie Vega, LCSW

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1306548193
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW21201 Issued in FL
Practice address
161 2ND St
West Palm Beach, FL 33413-1713
Phone
(561) 900-8945
NPI assigned
Mar 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 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 SW21201 FL Primary

Addresses

Primary practice location

161 2ND St
West Palm Beach, FL 33413-1713

Mailing address

161 2ND St
West Palm Beach, FL 33413-1713
Phone (561) 900-8945

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
I20230503003638 FL Practitioner - Clinical Social Worker 7517322183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Care Florida LLCGroup PAC ID 0941608731, 15 clinicians

Practice addresses (Care Compare)

1903 S Congress Ave
Suite 455
Boynton Beach, FL 33426-6559
Phone (561) 336-4790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Care Florida, LLC CurrentSince Jun 1, 2023 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients

Locations

1903 S Congress Ave
Ste 455
Boynton Beach, FL 33426
Phone (561) 336-4790

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

809 N Dixie Hwy
Ste 200
West Palm Beach, FL 33401
Phone (561) 336-4790

Organizations & group practices 2

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": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1306548193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 2ND ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334131713",
            "telephone_number": "561-900-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 2ND ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334131713",
            "telephone_number": "561-900-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.