Individual provider Active NPI

Lori Diane Burack, MSW

  • Clinical Social Worker
  • Lake Worth, FL
National Provider Identifier
1891880480
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW0002319 Issued in FL
Practice address
5700 Lake Worth Rd.
Suite 205
Lake Worth, FL 33463
Phone
(561) 478-5160
Fax
(561) 642-9623
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW0002319 FL Primary

Addresses

Primary practice location

5700 Lake Worth Rd.
Suite 205
Lake Worth, FL 33463

Mailing address

5700 Lake Worth Rd.
Suite 205
Lake Worth, FL 33463
Phone (561) 478-5160

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
I20120810000259 FL Practitioner - Clinical Social Worker 1355597162 Reassigns benefits to 2 organizations
Practice locations: Lake Worth, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12773 Forest Hill Blvd
Suite 1206
Wellington, FL 33414-4760
Phone (561) 945-7003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Different Like Me Inc Clinical CurrentSince Jun 18, 2012 Accepting new patients
Lori Burack, LCSW, PA Clinical CurrentSince Oct 1, 2016 Accepting new patients
Steven M Essig PSYD PA PastSince May 12, 2024 Accepting new patients

Locations

1601 Clint Moore Rd
Ste 120
Boca Raton, FL 33487
Phone (561) 270-2280

7000 W Palmetto Park Rd
Ste 201
Boca Raton, FL 33433
Phone (561) 270-2280

5700 Lake Worth Rd
Ste 205
Greenacres, FL 33463
Phone (561) 478-5160

12773 Forest Hill Blvd
Ste 1206
Wellington, FL 33414
Phone (541) 206-0802

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891880480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD.",
            "address_2": "SUITE 205",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33463",
            "telephone_number": "561-478-5160",
            "fax_number": "561-642-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD.",
            "address_2": "SUITE 205",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33463",
            "telephone_number": "561-478-5160",
            "fax_number": "561-642-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURACK",
        "first_name": "LORI",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0002319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.