Individual provider Active NPI

Lester Irwin Weiss, LCSW

  • Clinical Social Worker
  • Safety Harbor, FL
National Provider Identifier
1801977962
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012830 Issued in PA
Practice address
801 2ND St N Ste 7
Safety Harbor, FL 34695-3503
Phone
(727) 725-8820
Fax
(727) 725-8361
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6181 PA
Clinical Social Worker 1041C0700X CW012830 PA Primary

Addresses

Primary practice location

801 2ND St N Ste 7
Safety Harbor, FL 34695-3503

Mailing address

801 2ND St N Ste 7
Safety Harbor, FL 34695-3503
Phone (727) 725-8820

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
I20190315000882 FL Practitioner - Clinical Social Worker 5496095184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Family Psychology Associates IncGroup PAC ID 1557399037, 16 clinicians

Practice addresses (Care Compare)

801 2ND St N
Suite 7
Safety Harbor, FL 34695-3562
Phone (727) 725-8820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6181PAMDAddiction (Substance Use Disorder) Counselor
CW012830PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychology Associates Inc Clinical CurrentSince Feb 7, 2019 Accepting new patients
Lynda Gurvitz PHD Inc PastSince Feb 7, 2019 Accepting new patients

Locations

801 2nd St N
Ste 7
Safety Harbor, FL 34695
Phone (727) 725-8820

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1801977962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 2ND ST N STE 7",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953503",
            "telephone_number": "727-725-8820",
            "fax_number": "727-725-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 2ND ST N STE 7",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953503",
            "telephone_number": "727-725-8820",
            "fax_number": "727-725-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "LESTER",
        "middle_name": "IRWIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "6181",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.