Individual provider Active NPI

Nicholas Adam Weisberger, LCSW

  • Clinical Social Worker
  • Davie, FL
National Provider Identifier
1356042543
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW24050 Issued in FL
Practice address
4801 S University Dr
Davie, FL 33328-3839
Phone
(561) 314-5074
NPI assigned
Mar 14, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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 SW24050 FL Primary

Addresses

Primary practice location

4801 S University Dr
Davie, FL 33328-3839

Mailing address

910 N Victoria Park Rd Apt 210
Fort Lauderdale, FL 33304-4426
Phone (561) 466-1019

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
I20251113002933 FL Practitioner - Clinical Social Worker 5799276101

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

515 S Federal Hwy
Ircm
Deerfield Beach, FL 33441-4109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW24050FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deerfield Florida House, Inc PastSince Jul 31, 2022 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": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1356042543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N VICTORIA PARK RD APT 210",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333044426",
            "telephone_number": "561-466-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283839",
            "telephone_number": "561-314-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBERGER",
        "first_name": "NICHOLAS",
        "middle_name": "ADAM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-14",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW24050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.