Individual provider Active NPI

Scarlett Beckett, RCSWI

  • Clinical Social Worker
  • Port Orange, FL
National Provider Identifier
1336525328
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW18073 Issued in FL
Practice address
900 N Swallow Tail Dr Ste 105
Port Orange, FL 32129-6103
Phone
(386) 333-9717
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 ISW18073 FL Primary

Addresses

Primary practice location

900 N Swallow Tail Dr Ste 105
Port Orange, FL 32129-6103

Mailing address

203 S Orchard St Apt 7C
Ormond Beach, FL 32174-8404
Phone (586) 381-0529

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
I20250114000646 FL Practitioner - Clinical Social Worker 9032647458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amanda Patterson, LMHC, LLCGroup PAC ID 5193250207, 11 clinicians
Patricia Adams Counseling, LLCGroup PAC ID 4284955527, 6 clinicians

Practice addresses (Care Compare)

2000 NW 150TH Ave
210 And 211
Pembroke Pines, FL 33028-2870
Phone (954) 378-5381

900 N Swallow Tail Dr
Suite 105
Port Orange, FL 32129-6103
Phone (386) 333-9717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW18073FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Patterson, LMHC, LLC CurrentSince Nov 30, 2025 Accepting new patients
Patricia Adams Counseling, LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

2929 N University Dr
Ste 205
Coral Springs, FL 33065
Phone (561) 408-1098

5400 S University Dr
Ste 308
Davie, FL 33328
Phone (978) 378-5381

2000 NW 150th Ave
#210
Pembroke Pines, FL 33028

900 N Swallow Tail Dr
Ste 105
Port Orange, FL 32129
Phone (386) 333-9717

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1336525328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ORCHARD ST APT 7C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748404",
            "telephone_number": "586-381-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N SWALLOW TAIL DR STE 105",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296103",
            "telephone_number": "386-333-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "SCARLETT",
        "credential": "RCSWI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW18073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.