Paul Kenneth Dempsey, LCSW MCAP ICADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12702 Issued in FL

Practice address

463 SE Nome Dr
Port St Lucie, FL 34984-8952

Phone

(772) 342-7802

NPI assigned

Jul 8, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Thrive Solutions LLC

  • Mental Health Counselor
  • Stuart, FL
  • NPI 1013776707
  Medicare reassignment NPD
• Treatment Centers of America, LLC

  dba Behavioral Health Centers

  • Substance Abuse Rehabilitation Facility
  • Port St Lucie, FL
  • NPI 1225743032
  Medicare reassignment NPD
• Treatment Centers of America, LLC

  dba Behavioral Health Centers

  • Substance Abuse Rehabilitation Facility
  • Wildwood, FL
  • NPI 1750117891
  NPD

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

{
    "created_epoch": "1499472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750803029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 SE NOME DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349848952",
            "telephone_number": "772-342-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 SE NOME DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349848952",
            "telephone_number": "772-342-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMPSEY",
        "first_name": "PAUL",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "LCSW MCAP ICADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "SW12702",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MCAP100135",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW12702",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Demasi, M.D.
• Vera G Demasi, OD
• Lindsey Anne Demetres, MSOTR/L
• Cara Demichael
• Alessandra Feola Demopoulos, BCBA
• Dennar Dialysis, LLC (Gatlin Kidney Care)
• Dental Arts of St Lucie West Inc
• Dentistry by Design, LLC
• Fransise Derezil
• Rachelle Arseneau Dermody, DMD

• Clinical Social Worker in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.