Individual provider Active NPI

Jennifer M Lorey, LCSW, CEDS

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1316535610
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10463 Issued in FL
Practice address
370 Camino Gardens Blvd Ste 307
Boca Raton, FL 33432-5816
Phone
(361) 360-4881
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 10463 FL
Clinical Social Worker 1041C0700X 10463 FL Primary

Addresses

Primary practice location

370 Camino Gardens Blvd Ste 307
Boca Raton, FL 33432-5816

Mailing address

370 Camino Gardens Blvd Ste 307
Boca Raton, FL 33432-5816
Phone (561) 360-4881

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
10463FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1316535610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CAMINO GARDENS BLVD STE 307",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325816",
            "telephone_number": "561-360-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 CAMINO GARDENS BLVD STE 307",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325816",
            "telephone_number": "361-360-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOREY",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "LCSW, CEDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "10463",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "10463",
            "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 Jan 4, 2021; 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.