NPIMap

Organization Active NPI

Exceptional Services Group, LLC

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1861724692
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9737 Issued in FL
Legal business name
EXCEPTIONAL SERVICES GROUP, LLC
Practice address
9070 Kimberly Blvd
Suite 50
Boca Raton, FL 33434-2855
Phone
(561) 852-0910
Fax
(561) 852-0960
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Mr. Justin Vassi, L.C.S.W.NPI 1699007401
Title
President
Phone
(561) 852-0910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW9737 FL Primary

Addresses

Primary practice location

9070 Kimberly Blvd
Suite 50
Boca Raton, FL 33434-2855

Mailing address

9070 Kimberly Blvd
Suite 50
Boca Raton, FL 33434-2855
Phone (561) 852-0910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100726000327 FL Part B Supplier - Clinic/Group Practice 1658403720 Receives reassigned benefits from 14 practitioners
Practice locations: Boca Raton, FL; Coconut Creek, FL; Lake Worth, FL; West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

9070 Kimberly Blvd
Ste 50
Boca Raton, FL 33434
Phone (561) 852-0910

4522 S Congress Ave
Lake Worth, FL 33461
Phone (561) 965-8500

1715 E Tiffany Dr
Mangonia Park, FL 33407
Phone (561) 537-6250

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1861724692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 KIMBERLY BLVD",
            "address_2": "SUITE 50",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342855",
            "telephone_number": "561-852-0910",
            "fax_number": "561-852-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 KIMBERLY BLVD",
            "address_2": "SUITE 50",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342855",
            "telephone_number": "561-852-0910",
            "fax_number": "561-852-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL SERVICES GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "VASSI",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-852-0910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9737",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.