Individual provider Active NPI

Julie Robin Asen, PHD, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1639237639
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW-0004542 Issued in FL
Practice address
621 NW 53Rd St
Suite 240
Boca Raton, FL 33487-8235
Phone
(561) 706-9060
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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 SW-0004542 FL Primary

Addresses

Primary practice location

621 NW 53Rd St
Suite 240
Boca Raton, FL 33487-8235

Mailing address

621 NW 53Rd St
Suite 240
Boca Raton, FL 33487-8235
Phone (561) 706-9060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SW-0004542FLMDClinical Social Worker

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1639237639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 NW 53RD ST",
            "address_2": "SUITE 240",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334878235",
            "telephone_number": "561-706-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 NW 53RD ST",
            "address_2": "SUITE 240",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334878235",
            "telephone_number": "561-706-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASEN",
        "first_name": "JULIE",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW-0004542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.