Individual provider Active NPI

Lori Dawn Blackman, L.C.S.W.

  • Clinical Social Worker
  • Delray Beach, FL
National Provider Identifier
1750403127
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 7330 Issued in FL
Practice address
1615 S Congress Ave Ste 103
Delray Beach, FL 33445-6326
Phone
(561) 917-9997
Fax
(561) 455-9988
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X .13898 SC
Clinical Social Worker 1041C0700X LCS 24722 CA
Clinical Social Worker 1041C0700X SW 7330 FL Primary

Addresses

Primary practice location

1615 S Congress Ave Ste 103
Delray Beach, FL 33445-6326

Mailing address

406 Parker Ivey Dr
Greenville, SC 29607-6513
Phone (561) 602-4114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20091114000028 FL Practitioner - Clinical Social Worker 5395883110 Reassigns benefits to 1 organization
I20201204001811 SC Practitioner - Clinical Social Worker 5395883110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1615 S Congress Ave
Suite 103
Delray Beach, FL 33445-6326
Phone (561) 602-4114

406 Parker Ivey Dr
Greenville, SC 29607-6513
Phone (561) 602-4114

6801 Lake Worth Rd
Suite 202
Greenacres, FL 33467-2965
Phone (561) 602-4114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 24722CAMDClinical Social Worker
SW 7330FLMDClinical Social Worker
.13898SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Healing Center Inc. Clinical Current Accepting new patients
New Beginnings Therapy, Inc. Clinical CurrentSince Aug 25, 2009 Accepting new patients
Senior Home Counseling and Advocacy, Inc. Clinical PastSince Feb 18, 2011 Accepting new patients
Lonny C Weiss Psy D PA PastSince Mar 1, 2006 Accepting new patients
Healing Minds Inc Past Accepting new patients

Locations

7700 Congress Ave
Ste 1131
Boca Raton, FL 33487
Phone (561) 826-1901

1615 S Congress Ave
Ste 103
Delray Beach, FL 33445
Phone (561) 602-4114

6801 Lake Worth Rd
Ste 202
Greenacres, FL 33467
Phone (561) 249-7335

6415 Lake Worth Rd
Ste 208
Greenacres, FL 33463
Phone (561) 252-3787

406 Parker Ivey Dr
Greenville, SC 29607
Phone (561) 602-4114

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1750403127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 PARKER IVEY DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076513",
            "telephone_number": "561-602-4114",
            "fax_number": "561-455-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 S CONGRESS AVE STE 103",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456326",
            "telephone_number": "561-917-9997",
            "fax_number": "561-455-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "LORI",
        "middle_name": "DAWN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": ".13898",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 24722",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 7330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.