Active NPI
Rose Emmanuella Farah Favard, LCSW
- Clinical Social Worker
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW24626
- Practice address
- 540 NW 11TH Ave
Boca Raton, FL 33486-3458 - Phone
- (850) 999-3102
- NPI assigned
- Apr 18, 2024
- 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 | SW24626 | FL | Primary |
Addresses
Primary practice location
540 NW 11TH Ave
Boca Raton, FL 33486-3458
Mailing address
540 NW 11TH Ave
Boca Raton, FL 33486-3458
Phone (850) 999-3102
Other practice location 1
1489 W Palmetto Park Rd Ste 410
Boca Raton, FL 33486-3325
Phone (850) 999-3102
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW24626 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ventre Medical Associates LLC | Clinical | Current | Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
7200 Camino Real
Ste 201
Boca Raton, FL 33433
Phone (561) 674-0885
7261 Sheridan St
Ste 340
Hollywood, FL 33024
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1400 E Oakland Park Blvd
Ste 210
Oakland Park, FL 33334
Phone 9545616222111
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761955200000",
"number": "1740035252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 NW 11TH AVE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334863458",
"telephone_number": "850-999-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 NW 11TH AVE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334863458",
"telephone_number": "850-999-3102"
}
],
"practiceLocations": [
{
"address_1": "1489 W Palmetto Park Rd Ste 410",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334863325",
"country_code": "US",
"telephone_number": "850-999-3102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAVARD",
"first_name": "ROSE",
"middle_name": "EMMANUELLA FARAH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-18",
"last_updated": "2025-11-01",
"certification_date": "2025-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW24626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.