Active NPI
Nancy L. Egbert, LCSW
- Clinical Social Worker
- Lakeland, FL
National Provider Identifier
1699920090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW8757
- Practice address
- 1801 E Memorial Blvd
Lakeland, FL 33801-2226 - Phone
- (863) 686-7153
- Fax
- (863) 683-5515
- NPI assigned
- Nov 26, 2008
- Sex
- Female
- Sole proprietor
- No
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 | SW8757 | FL | Primary |
Addresses
Primary practice location
1801 E Memorial Blvd
Lakeland, FL 33801-2226
Mailing address
PO Box 5307
Plant City, FL 33563-0041
Phone (813) 431-1567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW8757 | Other | FL | LICENSED CLINICAL SOCIAL WORKER |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vericare of Florida, Inc. | Clinical | Past | Accepting new patients |
| Catholic Charities of Central Florida, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/18077/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1649309881
-
- Clinical Psychologist
- Lakeland, FL
- NPI 1851331086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1699920090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5307",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335630041",
"telephone_number": "813-431-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 E MEMORIAL BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338012226",
"telephone_number": "863-686-7153",
"fax_number": "863-683-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGBERT",
"first_name": "NANCY",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-26",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW8757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "SW8757",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.