Individual provider Active NPI

Cheryl A Hurley, LCSW

  • Clinical Social Worker
  • Beverly Hills, FL
National Provider Identifier
1710335013
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5548 W Corral PL
Beverly Hills, FL 34465-2729
Phone
(813) 444-2992
NPI assigned
May 26, 2016
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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 NU Primary

Addresses

Primary practice location

5548 W Corral PL
Beverly Hills, FL 34465-2729

Mailing address

13266 Byrd Dr Suite 100
393
Odessa, FL 33556-0254
Phone (813) 444-2992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA, OR, AZ, IA, SC, ND7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20240321001482 FL Practitioner - Clinical Social Worker 1153768585 Reassigns benefits to 1 organization
I20240326002715 WA Practitioner - Clinical Social Worker 1153768585 Reassigns benefits to 1 organization
I20250723002949 OR Practitioner - Clinical Social Worker 1153768585 Reassigns benefits to 1 organization
I20250723003113 AZ Practitioner - Clinical Social Worker 1153768585 Reassigns benefits to 1 organization
I20250902002151 IA Practitioner - Clinical Social Worker 1153768585 Reassigns benefits to 1 organization
I20250912000076 SC Practitioner - Clinical Social Worker 1153768585 Reassigns benefits to 1 organization
I20260219002368 ND Practitioner - Clinical Social Worker 1153768585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Feb 15, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

3523 45th St S
Fargo, ND 58104
Phone (701) 747-9701

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1710335013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13266 BYRD DR SUITE 100",
            "address_2": "393",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335560254",
            "telephone_number": "813-444-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5548 W CORRAL PL",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344652729",
            "telephone_number": "813-444-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "CHERYL",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, FL

Sources for this page

Verify at the official NPI Registry.