Individual provider Active NPI

Joan Lenore Ensink, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1780631903
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW730 Issued in FL
Practice address
21300 Coleman Blvd
Boca Raton, FL 33428-1757
Phone
(561) 852-3333
Fax
(561) 852-3332
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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 SW730 FL Primary

Addresses

Primary practice location

21300 Coleman Blvd
Boca Raton, FL 33428-1757

Mailing address

8357 El Paso Dr
Lake Worth, FL 33467-1107
Phone (561) 642-4591

Other identifiers 1

IdentifierTypeStateIssuer
Z4002OtherFLBCBS OF FLORIDA

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
SW730FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Toby and Leon Cooperman Therapy and Family Resource Center Past Accepting new patients
Ruth & Norman Rales Jewish Family Services Inc Clinical PastSince Jun 25, 2023 Accepting new patients

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1780631903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8357 EL PASO DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671107",
            "telephone_number": "561-642-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 COLEMAN BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281757",
            "telephone_number": "561-852-3333",
            "fax_number": "561-852-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSINK",
        "first_name": "JOAN",
        "middle_name": "LENORE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "Z4002",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.