Individual provider Active NPI

Justin Vassi, L.C.S.W.

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1699007401
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9737 Issued in FL
Practice address
9070 Kimberly Blvd
Suite 50
Boca Raton, FL 33434-2855
Phone
(561) 852-0910
Fax
(561) 852-0960
NPI assigned
Feb 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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 SW9737 FL Primary

Addresses

Primary practice location

9070 Kimberly Blvd
Suite 50
Boca Raton, FL 33434-2855

Mailing address

9070 Kimberly Blvd
Suite 50
Boca Raton, FL 33434-2855
Phone (561) 852-0910

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
I20101007001306 FL Practitioner - Clinical Social Worker 8820120991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exceptional Services Group, LLCGroup PAC ID 1658403720, 13 clinicians

Practice addresses (Care Compare)

9250 Glades Rd
Suite 111
Boca Raton, FL 33434-3958
Phone (561) 852-0910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Services Group, LLC Clinical CurrentSince Dec 30, 2002 Accepting new patients

Locations

9070 Kimberly Blvd
Ste 50
Boca Raton, FL 33434
Phone (561) 852-0910

9250 Glades Rd
Ste 111
Boca Raton, FL 33434
Phone (561) 479-2880

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": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1699007401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 KIMBERLY BLVD",
            "address_2": "SUITE 50",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342855",
            "telephone_number": "561-852-0910",
            "fax_number": "561-852-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 KIMBERLY BLVD",
            "address_2": "SUITE 50",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342855",
            "telephone_number": "561-852-0910",
            "fax_number": "561-852-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSI",
        "first_name": "JUSTIN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-03",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.