Individual provider Active NPI

Lisa Sellitto, MSW

  • Clinical Social Worker
  • Palm City, FL
National Provider Identifier
1447812722
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3577 SW Corporate Pkwy
Palm City, FL 34990-8153
Phone
(772) 220-3439
NPI assigned
Jul 8, 2019
Last updated
Jul 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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 FL Primary

Addresses

Primary practice location

3577 SW Corporate Pkwy
Palm City, FL 34990-8153

Mailing address

10320 Flagship Ave
Port Richey, FL 34668-3360
Phone (727) 809-0264

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Lauris

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1447812722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 FLAGSHIP AVE",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346683360",
            "telephone_number": "727-809-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3577 SW CORPORATE PKWY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908153",
            "telephone_number": "772-220-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLITTO",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lauris",
            "affiliation": "N",
            "address_1": "3577 SW Corporate Pkwy",
            "city": "Palm City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349908153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

Verify at the official NPI Registry.