Individual provider Active NPI

Ana Luz Rashad, LCSW

  • Clinical Social Worker
  • Palm Beach Gardens, FL
National Provider Identifier
1770896573
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11288 Issued in FL
Practice address
11760 US Highway 1
Palm Beach Gardens, FL 33408-3013
Phone
(617) 388-0470
NPI assigned
Jul 21, 2010
Last updated
Apr 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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 SW11288 FL Primary

Addresses

Primary practice location

11760 US Highway 1
Palm Beach Gardens, FL 33408-3013

Mailing address

PO Box 9219
Jupiter, FL 33468-9219
Phone (617) 388-0470

Other practice location 1

1500 NW 10th Ave Ste 105
Boca Raton, FL 33486-1344
Phone (617) 388-0470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW11288FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1770896573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9219",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334689219",
            "telephone_number": "617-388-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 US HIGHWAY 1",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334083013",
            "telephone_number": "617-388-0470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 NW 10th Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334861344",
            "country_code": "US",
            "telephone_number": "617-388-0470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASHAD",
        "first_name": "ANA LUZ",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.