Individual provider Active NPI

Lisa B Salcedo, LCSW

  • Clinical Social Worker
  • Boynton Beach, FL
National Provider Identifier
1356848840
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12415 Issued in FL
Practice address
8198 Jog Road
Ste 105
Boynton Beach, FL 33472-2900
Phone
(561) 801-7577
Fax
(866) 757-5778
NPI assigned
Apr 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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 SW12415 FL Primary

Addresses

Primary practice location

8198 Jog Road
Ste 105
Boynton Beach, FL 33472-2900

Mailing address

6348 Ethan Drive
Lake Worth, FL 33467-8732
Phone (561) 801-7577

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
I20190225000539 FL Practitioner - Clinical Social Worker 9537408232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Different Like Me IncGroup PAC ID 0840385753, 10 clinicians

Practice addresses (Care Compare)

1601 Clint Moore Rd
Suite 120
Boca Raton, FL 33487-5712
Phone (561) 270-2280

6348 Ethan Dr
Lake Worth, FL 33467-2900
Phone (561) 801-7577

6348 Ethan Dr
Lake Worth, FL 33467-8732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW12415FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Different Like Me Inc Clinical CurrentSince Dec 21, 2018 Accepting new patients
Lisa Salcedo LCSW PA Clinical CurrentSince Jan 19, 2020 Accepting new patients

Locations

6971 N Federal Hwy
Ste 301
Boca Raton, FL 33487
Phone (561) 408-1098

1601 Clint Moore Rd
Ste 120
Boca Raton, FL 33487
Phone (561) 270-2280

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1356848840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6348 ETHAN DRIVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334678732",
            "telephone_number": "561-801-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 JOG ROAD",
            "address_2": "STE 105",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722900",
            "telephone_number": "561-801-7577",
            "fax_number": "866-757-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALCEDO",
        "first_name": "LISA",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.