Active NPI
Candice S. Rasa, MSW, LCSW
- Clinical Social Worker
- Vero Beach, FL
National Provider Identifier
1326323718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW9621
- Practice address
- 820 37TH PL
Vero Beach, FL 32960-6562 - Phone
- (772) 569-9788
- NPI assigned
- Oct 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW9621 | FL | Primary |
Addresses
Primary practice location
820 37TH PL
Vero Beach, FL 32960-6562
Mailing address
820 37TH Place
Vero Beach, FL 32960
Phone (772) 569-9788
Other practice location 1
501 SE 18th Ct
Ft Lauderdale, FL 33316-2833
Phone (954) 522-4749 ext. 1234
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW9621 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broward House, Inc. | Clinical | Past | Accepting new patients |
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": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1326323718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 37TH PLACE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32960",
"telephone_number": "772-569-9788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 37TH PL",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606562",
"telephone_number": "772-569-9788"
}
],
"practiceLocations": [
{
"address_1": "501 SE 18th Ct",
"address_purpose": "LOCATION",
"city": "Ft Lauderdale",
"state": "FL",
"postal_code": "333162833",
"country_code": "US",
"telephone_number": "954-522-4749 x1234",
"fax_number": "954-522-9357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RASA",
"first_name": "CANDICE",
"middle_name": "S.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW9621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.