Individual provider Active NPI

Sophia Lynn Wong, LCSW

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1962132597
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13908 Issued in FL
Practice address
8895 N Military TRL
West Palm Beach, FL 33410-6220
Phone
(561) 531-7818
NPI assigned
Jun 15, 2022
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 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 SW13908 FL Primary

Addresses

Primary practice location

8895 N Military TRL
West Palm Beach, FL 33410-6220

Mailing address

8895 N Military TRL Ste 300
West Palm Beach, FL 33410-6220

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
I20220708000102 FL Practitioner - Clinical Social Worker 4981084969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of South Florida College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mfe Psychiatry LLCGroup PAC ID 7315369352, 10 clinicians

Practice addresses (Care Compare)

8895 N Military Trail
West Palm Beach Garden, FL 33410-6263
Phone (561) 531-7818

8895 N Military TRL
Suite 306E
West Palm Beach, FL 33410-6263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW13908FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mfe Psychiatry LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

13801 Bruce B Downs Blvd
Ste 305
Tampa, FL 33613
Phone (352) 519-2119

8895 N Military Trl
Ste 300E
West Palm Beach, FL 33410
Phone (561) 472-0397

8895 N Military Trl
Ste 306E
West Palm Beach, FL 33410
Phone (561) 531-7817

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, 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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1962132597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRL STE 300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106220",
            "telephone_number": "561-531-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "SOPHIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.