Carly N Lupo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW16239 Issued in FL

Practice address

700 S Rosemary Ave
Suite 204 Ofc 101
West Palm Beach, FL 33401

Phone

(561) 246-5063

NPI assigned

Apr 19, 2019

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Adaptive Mind PLLC

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1336788439
  NPD Authorized official

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1699338152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S ROSEMARY AVE STE 204",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016310",
            "telephone_number": "561-246-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S ROSEMARY AVE",
            "address_2": "SUITE 204 OFC 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33401",
            "telephone_number": "561-246-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPO",
        "first_name": "CARLY",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103557300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M4MO2",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivan Mauricio Luna
• Stephanie Myers Luna, PT
• Shanele Ranae Lundahl,, D.C.
• Megan Hilda Lunden, AGACNP-BC, DNP
• Adrian B Lunick, PT
• Joseph Anthony Lupo, PH.D.
• Sandra Levern Lusunariz
• Amy Lutz
• Brittany Lutz
• Luxelift Transport LLC

• 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 Aug 11, 2020; 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.