Individual provider Active NPI

Lauren Lynn Sentovich, LCSW

  • Clinical Social Worker
  • Brandon, FL
National Provider Identifier
1598519639
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW22273 Issued in FL
Practice address
1134 Bell Shoals Rd
Brandon, FL 33511-8813
Phone
(813) 315-8648
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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 SW22273 FL Primary

Addresses

Primary practice location

1134 Bell Shoals Rd
Brandon, FL 33511-8813

Mailing address

2911 Ripplewood Dr
Seffner, FL 33584-6029
Phone (813) 608-2254

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
I20240510003402 FL Practitioner - Clinical Social Worker 8527409374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW22273FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon Mental Health CurrentSince Apr 26, 2024 Accepting new patients

Locations

1134 Bell Shoals Rd
Brandon, FL 33511
Phone (813) 315-8648

Networks

  • Freedom Health HMO Network

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1598519639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 RIPPLEWOOD DR",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335846029",
            "telephone_number": "813-608-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 BELL SHOALS RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118813",
            "telephone_number": "813-315-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENTOVICH",
        "first_name": "LAUREN",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.