Organization Active NPI

My Social Wellbeing LLC

  • Clinical Social Worker
  • Lutz, FL
National Provider Identifier
1629825955
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MY SOCIAL WELLBEING LLC
Practice address
1627 Hammocks Ave
Lutz, FL 33549-4205
Phone
(813) 595-0022
NPI assigned
May 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Norlan McKenzie, LCSWNPI 1689051047
Title
Owner
Phone
(813) 595-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1627 Hammocks Ave
Lutz, FL 33549-4205

Mailing address

1627 Hammocks Ave
Lutz, FL 33549-4205
Phone (813) 595-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251009000603 FL Part B Supplier - Clinic/Group Practice 9931606597 Receives reassigned benefits from 1 practitioner
Practice locations: Lutz, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1629825955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 HAMMOCKS AVE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494205",
            "telephone_number": "813-595-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 HAMMOCKS AVE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494205",
            "telephone_number": "813-595-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SOCIAL WELLBEING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "NORLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-595-0022",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.