Paige Ellen Fant, LCSW, MCAP, ICADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15154 Issued in FL

Practice address

1509 N Military TRL Ste 100
West Palm Beach, FL 33409-4765

Phone

(561) 704-3141

NPI assigned

Apr 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1669960373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 HIGH RIDGE RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 N MILITARY TRL STE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334094765",
            "telephone_number": "561-704-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANT",
        "first_name": "PAIGE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, MCAP, ICADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medical Group WPB LLC
• Family Retirement Inn, Inc.
• Ao Fang
• Jade Fang, A.P.
• Keh Nan Fang
• Fantastic Wound Care Inc
• Fantastic Wound Care LLC
• Mariela De Lourdes Fantauzzi
• Susan Fante, CRNA
• Bambi D Fanto, M.S.

• Clinical Social Worker in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.