Individual provider Active NPI

Rose Emmanuella Farah Favard, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1740035252
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW24626 Issued in FL
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

Updated by the provider on Nov 1, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250519001809 FL Practitioner - Clinical Social Worker 2860910361 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW24626FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ventre Medical Associates LLC Clinical CurrentSince Apr 21, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 20, 2025 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

Verify at the official NPI Registry.