Individual provider Active NPI

Stephanie Elizabeth Rasel, LCSW, BCBA, ITDS

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1831545250
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15593 Issued in FL
Practice address
2029 Okeechobee Blvd # 1145
West Palm Beach, FL 33409-4131
Phone
(561) 325-6468
NPI assigned
May 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-15-19401
Developmental Therapist 222Q00000X
Clinical Social Worker 1041C0700X SW15593 FL Primary

Addresses

Primary practice location

2029 Okeechobee Blvd # 1145
West Palm Beach, FL 33409-4131

Mailing address

2029 Okeechobee Blvd # 1145
West Palm Beach, FL 33409-4131
Phone (561) 325-6468

Other names 1

  • Stephanie Elizabeth Benitez Former name

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
SW15593FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meaningful Milestones Clinical CurrentSince Jul 3, 2022 Accepting new patients

Locations

2211 NE 36th St
Ste 202
Lighthouse Point, FL 33064
Phone (954) 614-3414

2029 Okeechobee Blvd
#1145
West Palm Beach, FL 33409
Phone (561) 325-6468

Organizations & group practices 1

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1831545250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 OKEECHOBEE BLVD # 1145",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334094131",
            "telephone_number": "561-325-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 OKEECHOBEE BLVD # 1145",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334094131",
            "telephone_number": "561-325-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASEL",
        "first_name": "STEPHANIE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW, BCBA, ITDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-15-19401",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BENITEZ",
            "middle_name": "ELIZABETH",
            "credential": "MSW, BCBA, ITDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.