Individual provider Active NPI

Lee McCoy Sloan, LCSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1417554783
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17652 Issued in FL
Practice address
2400 E Commercial Blvd Ste 101
Ft Lauderdale, FL 33308-4022
Phone
(754) 243-5650
NPI assigned
Oct 8, 2020
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 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 SW17652 FL Primary

Addresses

Primary practice location

2400 E Commercial Blvd Ste 101
Ft Lauderdale, FL 33308-4022

Mailing address

2400 E Commercial Blvd Ste 101
Ft Lauderdale, FL 33308-4022
Phone (754) 243-5650

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
I20220624001830 FL Practitioner - Clinical Social Worker 2769861558 Reassigns benefits to 1 organization
Practice locations: Stuart, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Florida Atlantic University, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olivia Carelli Psychotherapy LLCGroup PAC ID 7911492558, 4 clinicians

Practice addresses (Care Compare)

1002 SE Monterey Commons Blvd
Suite 205
Stuart, FL 34996-3357
Phone (772) 208-8538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW17652FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Olivia Carelli Psychotherapy LLC CurrentSince Dec 8, 2025 Accepting new patients

Locations

1002 SE Monterey Commons Blvd
Ste 205
Stuart, FL 34996
Phone (772) 208-8538

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1417554783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 E COMMERCIAL BLVD STE 101",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084022",
            "telephone_number": "754-243-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E COMMERCIAL BLVD STE 101",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084022",
            "telephone_number": "754-243-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "LEE",
        "middle_name": "MCCOY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.