Individual provider Active NPI

Jill Lurie, LCSW

  • Clinical Social Worker
  • Boynton Beach, FL
National Provider Identifier
1932337102
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 9381 Issued in FL
Practice address
Online Secure Counseling
Boynton Beach, FL 33445-4315
Phone
(561) 573-3105
NPI assigned
Jun 26, 2009
Last updated
May 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2022

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 SW 9381 FL Primary

Addresses

Primary practice location

Online Secure Counseling
Boynton Beach, FL 33445-4315

Mailing address

633 Lakewoode Cir W
Delray Beach, FL 33445-4315
Phone (561) 573-3105

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
I20091203000409 FL Practitioner - Clinical Social Worker 9638218761 Practice locations: Delray Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Boynton Beach, FL 33426-7704

633 Lakewoode Cir W
Delray Beach, FL 33445-4315
Phone (561) 573-3105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 9381FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Different Like Me Inc Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1932337102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 LAKEWOODE CIR W",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454315",
            "telephone_number": "561-573-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONLINE SECURE COUNSELING",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334454315",
            "telephone_number": "561-573-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LURIE",
        "first_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2022-05-13",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 9381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.