Active NPI
Evan Emery, LCSW
- Clinical Social Worker
- Boca Raton, FL
National Provider Identifier
1659004786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18560
- Practice address
- 4400 N Federal Hwy Ste 210
Boca Raton, FL 33431-5195 - Phone
- (610) 772-5328
- NPI assigned
- Jul 6, 2022
- Last updated
- Jul 6, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18560 | FL | Primary |
Addresses
Primary practice location
4400 N Federal Hwy Ste 210
Boca Raton, FL 33431-5195
Mailing address
4400 N Federal Hwy Ste 210
Boca Raton, FL 33431-5195
Phone (610) 772-5328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18560 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1659004786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 N FEDERAL HWY STE 210",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334315195",
"telephone_number": "610-772-5328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 N FEDERAL HWY STE 210",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334315195",
"telephone_number": "610-772-5328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERY",
"first_name": "EVAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-06",
"last_updated": "2022-07-06",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "18560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
- Emere Florida, P.a.
- Emergent DME, Inc. (SST Medical Supply)
- Emergent Physicians of West Boca, LLC
- Emery Psychological Center, PA
- Emery Psychological Center, PA (Families By Design)
- Laurie M Emery
- Empire Medical Equipment and Supplies LLC
- Allan Encarnacion, PT
- Merissa Encarnacion, DPT
- Endocrine Care of Boca Raton PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.