Individual provider Active NPI

Lauren D Storck-Burger, LCSW

  • Clinical Social Worker
  • New Port Richey, FL
National Provider Identifier
1770213431
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
FL20078 Issued in FL
Practice address
4748 Spring Side Dr
New Port Richey, FL 34653-6731
Phone
(973) 856-2611
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 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 FL20078 FL Primary

Addresses

Primary practice location

4748 Spring Side Dr
New Port Richey, FL 34653-6731

Mailing address

4748 Spring Side Dr
New Port Richey, FL 34653-6731
Phone (973) 856-2611

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
I20250116000671 FL Practitioner - Clinical Social Worker 4284162488 Practice locations: New Port Richey, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4748 Spring Side Dr
New Port Richey, FL 34653-6731
Phone (727) 835-5008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FL20078FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1770213431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4748 SPRING SIDE DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536731",
            "telephone_number": "973-856-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4748 SPRING SIDE DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536731",
            "telephone_number": "973-856-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORCK-BURGER",
        "first_name": "LAUREN",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "FL20078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.