Active NPI
Stephanie Elizabeth Rasel, LCSW, BCBA, ITDS
- Clinical Social Worker
- West Palm Beach, FL
National Provider Identifier
1831545250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15593
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW15593 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meaningful Milestones | Clinical | Current | 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.