Individual provider Active NPI

Deborah Lawrence, LCSW

  • Clinical Social Worker
  • Stuart, FL
National Provider Identifier
1366583775
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7586 Issued in FL
Practice address
735 Colorado Ave
Suite 6
Stuart, FL 34994-3031
Phone
(772) 220-3439
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW7586 FL Primary

Addresses

Primary practice location

735 Colorado Ave
Suite 6
Stuart, FL 34994-3031

Mailing address

735 Colorado Ave
Suite 6
Stuart, FL 34994-3031
Phone (772) 220-3439

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
I20170619001349 FL Practitioner - Clinical Social Worker 5890062939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

308 Tequesta Dr
Suite 23
Tequesta, FL 33469-3083
Phone (772) 675-2110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Consulting International LLC CurrentSince Apr 28, 2017 Accepting new patients

Locations

308 Tequesta Dr
Ste 23
Tequesta, FL 33469
Phone (772) 675-2110

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366583775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 COLORADO AVE",
            "address_2": "SUITE 6",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943031",
            "telephone_number": "772-220-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 COLORADO AVE",
            "address_2": "SUITE 6",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943031",
            "telephone_number": "772-220-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "DEBORAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.