Individual provider Active NPI

Elyse Gabriele, LCSW

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1891593588
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13169 Issued in FL
Practice address
166 NW 102ND Ave
Coral Springs, FL 33071-7366
Phone
(954) 401-4745
NPI assigned
Mar 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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 13169 FL Primary

Addresses

Primary practice location

166 NW 102ND Ave
Coral Springs, FL 33071-7366

Mailing address

166 NW 102ND Ave
Coral Springs, FL 33071-7366
Phone (954) 401-4745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250326001797 CA Practitioner - Clinical Social Worker 6800319286 Reassigns benefits to 1 organization
I20250514003948 FL Practitioner - Clinical Social Worker 6800319286 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13169FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Mar 28, 2025 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Feb 21, 2025 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1891593588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 NW 102ND AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717366",
            "telephone_number": "954-401-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 NW 102ND AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717366",
            "telephone_number": "954-401-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIELE",
        "first_name": "ELYSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "13169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.